{
  "reporting_entity_name": "Sidecar Health Insurance Solutions, LLC",
  "reporting_entity_type": "third-party administrator",
  "out_of_network": [
    {
      "name": "Lab fee to measure creatinine level to test for kidney function or muscle injury",
      "billing_code_type": "CPT",
      "billing_code": "82570",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure creatinine level to test for kidney function or muscle injury",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.2,
              "providers": [
                {
                  "billed_charge": 11.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.66,
              "providers": [
                {
                  "billed_charge": 11.66,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.3,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.66,
              "providers": [
                {
                  "billed_charge": 11.66,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 35.2,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.3,
              "providers": [
                {
                  "billed_charge": 35.2,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.18,
              "providers": [
                {
                  "billed_charge": 5.18,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.0,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98940",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003047697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.87,
              "providers": [
                {
                  "billed_charge": 35.87,
                  "npi": [
                    1003047697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053422584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1053422584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063223022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1063223022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073738522"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1073738522
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.93,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1073738522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184300493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1184300493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235524141"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.84,
              "providers": [
                {
                  "billed_charge": 35.84,
                  "npi": [
                    1235524141
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.88,
              "providers": [
                {
                  "billed_charge": 35.88,
                  "npi": [
                    1235524141
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.34,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1235524141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346782380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.47,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1346782380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417312075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1417312075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437538923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1437538923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457190159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.0,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1457190159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467216044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1467216044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467817916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467817916
                  ]
                },
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1467817916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477045185"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1477045185
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.34,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1477045185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487959755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1487959755
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1487959755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538427224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1538427224
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1538427224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548151954"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.34,
              "providers": [
                {
                  "billed_charge": 55.3,
                  "npi": [
                    1548151954
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568113645"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.18,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1568113645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568439339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1568439339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649852336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.18,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1649852336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659478287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1659478287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1659478287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710016621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1710016621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922540798"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1922540798
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982858833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1982858833
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013527845"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013527845
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1013527845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013942101"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.5,
              "providers": [
                {
                  "billed_charge": 123.5,
                  "npi": [
                    1013942101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023047974"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1023047974
                  ]
                }
              ]
            },
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1023047974
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033185152"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1033185152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.77,
              "providers": [
                {
                  "billed_charge": 127.84,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053440180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1053440180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063855294"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1063855294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.02,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083079941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1083079941
                  ]
                }
              ]
            },
            {
              "allowed_amount": 204.4,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1083079941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093980195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1093980195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124341649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.81,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1124341649
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.36,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1124341649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134785389"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.6,
              "providers": [
                {
                  "billed_charge": 81.6,
                  "npi": [
                    1134785389
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1134785389
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.81,
              "providers": [
                {
                  "billed_charge": 122.81,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154617736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1154617736
                  ]
                }
              ]
            },
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1154617736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164924502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.14,
              "providers": [
                {
                  "billed_charge": 101.14,
                  "npi": [
                    1164924502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174296172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.41,
              "providers": [
                {
                  "billed_charge": 80.41,
                  "npi": [
                    1174296172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194341768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.28,
              "providers": [
                {
                  "billed_charge": 192.28,
                  "npi": [
                    1194341768
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1194341768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205885035"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1205885035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205943651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1205943651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215063631"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1215063631
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215984604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1215984604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225192610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.3,
              "providers": [
                {
                  "billed_charge": 125.3,
                  "npi": [
                    1225192610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.36,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285679720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.43,
              "providers": [
                {
                  "billed_charge": 91.43,
                  "npi": [
                    1285679720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285827972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.52,
              "providers": [
                {
                  "billed_charge": 177.52,
                  "npi": [
                    1285827972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.86,
              "providers": [
                {
                  "billed_charge": 170.86,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.95,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316011661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1316011661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326237165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1326237165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326881475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1326881475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 229.0,
                  "npi": [
                    1326881475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346451655"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.76,
              "providers": [
                {
                  "billed_charge": 78.03,
                  "npi": [
                    1346451655
                  ]
                }
              ]
            },
            {
              "allowed_amount": 78.03,
              "providers": [
                {
                  "billed_charge": 78.03,
                  "npi": [
                    1346451655
                  ]
                }
              ]
            },
            {
              "allowed_amount": 151.47,
              "providers": [
                {
                  "billed_charge": 151.47,
                  "npi": [
                    1346451655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346738473"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1346738473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366762825"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1366762825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.1,
              "providers": [
                {
                  "billed_charge": 123.1,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447981402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1447981402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467766204"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.06,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1467766204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467972299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1467972299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477690329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1477690329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477753911"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.86,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1477753911
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548212988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.98,
              "providers": [
                {
                  "billed_charge": 264.95,
                  "npi": [
                    1548212988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558545202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1558545202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568443141"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1568443141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578373155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1578373155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598197691"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1598197691
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598940942"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.74,
              "providers": [
                {
                  "billed_charge": 227.43,
                  "npi": [
                    1598940942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619053527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1619053527
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1619053527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619594785"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.8,
              "providers": [
                {
                  "billed_charge": 118.8,
                  "npi": [
                    1619594785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629520713"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.6,
              "providers": [
                {
                  "billed_charge": 81.6,
                  "npi": [
                    1629520713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639194483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1639194483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639564800"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1639564800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649957168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1649957168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669033734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.99,
              "providers": [
                {
                  "billed_charge": 79.99,
                  "npi": [
                    1669033734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679291942"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1679291942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.6,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1679291942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689010928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1689010928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689769572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.38,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1689769572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689822827"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1689822827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689973638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 441.6,
              "providers": [
                {
                  "billed_charge": 441.6,
                  "npi": [
                    1689973638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699917088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.0,
              "providers": [
                {
                  "billed_charge": 51.0,
                  "npi": [
                    1699917088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 226.24,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1699917088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.54,
              "providers": [
                {
                  "billed_charge": 104.54,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740343342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1740343342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740589506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1740589506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 229.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780701417"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1780701417
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790708741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1790708741
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1790708741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801329180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1801329180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801801766"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.95,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1801801766
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 227.43,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811242761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.08,
              "providers": [
                {
                  "billed_charge": 114.08,
                  "npi": [
                    1811242761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811747207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1811747207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821029729"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1821029729
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.8,
              "providers": [
                {
                  "billed_charge": 118.8,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881956647"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.4,
              "providers": [
                {
                  "billed_charge": 59.4,
                  "npi": [
                    1881956647
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1881956647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891061453"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1891061453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891899951"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.4,
              "providers": [
                {
                  "billed_charge": 158.4,
                  "npi": [
                    1891899951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902242241"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1902242241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922752328"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.1,
              "providers": [
                {
                  "billed_charge": 140.1,
                  "npi": [
                    1922752328
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932664695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1932664695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942242284"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1942242284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942336110"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1942336110
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972631679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1972631679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982785838"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1982785838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992216394"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1992216394
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1992216394
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013283365"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013283365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013967306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.24,
              "providers": [
                {
                  "billed_charge": 66.24,
                  "npi": [
                    1013967306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023067220"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.29,
              "providers": [
                {
                  "billed_charge": 111.29,
                  "npi": [
                    1023067220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033185582"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.73,
              "providers": [
                {
                  "billed_charge": 123.73,
                  "npi": [
                    1033185582
                  ]
                }
              ]
            },
            {
              "allowed_amount": 202.0,
              "providers": [
                {
                  "billed_charge": 202.0,
                  "npi": [
                    1033185582
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033195474"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1033195474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033317250"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1033317250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033383500"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.26,
              "providers": [
                {
                  "billed_charge": 117.26,
                  "npi": [
                    1033383500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033504063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.16,
              "providers": [
                {
                  "billed_charge": 133.16,
                  "npi": [
                    1033504063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063463768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 540.0,
                  "npi": [
                    1063463768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073114948"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.43,
              "providers": [
                {
                  "billed_charge": 185.43,
                  "npi": [
                    1073114948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073565610"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 322.0,
                  "npi": [
                    1073565610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073604518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.0,
              "providers": [
                {
                  "billed_charge": 169.0,
                  "npi": [
                    1073604518
                  ]
                }
              ]
            },
            {
              "allowed_amount": 280.5,
              "providers": [
                {
                  "billed_charge": 280.5,
                  "npi": [
                    1073604518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 360.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            },
            {
              "allowed_amount": 356.0,
              "providers": [
                {
                  "billed_charge": 360.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093493637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1093493637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093764805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1093764805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093911935"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1093911935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104141423"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1104141423
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114113719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.02,
              "providers": [
                {
                  "billed_charge": 135.02,
                  "npi": [
                    1114113719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114331568"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1114331568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134234859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1134234859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144270240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1144270240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144289596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 243.01,
              "providers": [
                {
                  "billed_charge": 248.0,
                  "npi": [
                    1144289596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144458647"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.9,
              "providers": [
                {
                  "billed_charge": 112.9,
                  "npi": [
                    1144458647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174305692"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1174305692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174781710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174781710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194721019"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.0,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1194721019
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194799882"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.73,
              "providers": [
                {
                  "billed_charge": 123.73,
                  "npi": [
                    1194799882
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205328408"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 374.0,
              "providers": [
                {
                  "billed_charge": 374.0,
                  "npi": [
                    1205328408
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235862012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1235862012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245761303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 275.62,
                  "npi": [
                    1245761303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275820813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 123.22,
                  "npi": [
                    1275820813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295158111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1295158111
                  ]
                }
              ]
            },
            {
              "allowed_amount": 163.12,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1295158111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306125919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 284.0,
              "providers": [
                {
                  "billed_charge": 360.0,
                  "npi": [
                    1306125919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306225222"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 417.0,
                  "npi": [
                    1306225222
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306590443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1306590443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306823380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1306823380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326714502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.85,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1326714502
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.21,
              "providers": [
                {
                  "billed_charge": 381.0,
                  "npi": [
                    1326714502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326793373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1326793373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336163708"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 177.0,
                  "npi": [
                    1336163708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336195643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 357.0,
              "providers": [
                {
                  "billed_charge": 360.0,
                  "npi": [
                    1336195643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376575514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 202.0,
                  "npi": [
                    1376575514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376578146"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1376578146
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386042703"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1386042703
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1386042703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396732541"
          },
          "service_code": [
            "71"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 103.28,
                  "npi": [
                    1396732541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407341415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 218.2,
              "providers": [
                {
                  "billed_charge": 239.2,
                  "npi": [
                    1407341415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407982457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407982457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427090794"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1427090794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467271692"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1467271692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477667244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1477667244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497276844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1497276844
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1497276844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497797344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.8,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1497797344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508392820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.12,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1508392820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518424498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.8,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1518424498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528350303"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.86,
              "providers": [
                {
                  "billed_charge": 128.86,
                  "npi": [
                    1528350303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.88,
              "providers": [
                {
                  "billed_charge": 128.88,
                  "npi": [
                    1528350303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548205651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1548205651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548248446"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.96,
              "providers": [
                {
                  "billed_charge": 99.96,
                  "npi": [
                    1548248446
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568693554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 381.0,
                  "npi": [
                    1568693554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609549104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.96,
              "providers": [
                {
                  "billed_charge": 166.54,
                  "npi": [
                    1609549104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619369071"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1619369071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619438348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1619438348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619511755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.21,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1619511755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629172523"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.02,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1629172523
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649525619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.53,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1649525619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669186565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1669186565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669429577"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 381.0,
                  "npi": [
                    1669429577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669643375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1669643375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700483260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.69,
              "providers": [
                {
                  "billed_charge": 111.56,
                  "npi": [
                    1700483260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710588744"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.42,
              "providers": [
                {
                  "billed_charge": 235.42,
                  "npi": [
                    1710588744
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710933684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 266.0,
              "providers": [
                {
                  "billed_charge": 342.0,
                  "npi": [
                    1710933684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720398456"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1720398456
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720432073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.84,
              "providers": [
                {
                  "billed_charge": 161.84,
                  "npi": [
                    1720432073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730151770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1730151770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730452970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1730452970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730573049"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 201.74,
              "providers": [
                {
                  "billed_charge": 201.74,
                  "npi": [
                    1730573049
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790912269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 298.0,
                  "npi": [
                    1790912269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801044128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 298.35,
              "providers": [
                {
                  "billed_charge": 298.35,
                  "npi": [
                    1801044128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.5,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881089472"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1881089472
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881228682"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1881228682
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891866083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.46,
              "providers": [
                {
                  "billed_charge": 30.46,
                  "npi": [
                    1891866083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891975595"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1891975595
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902674344"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.92,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1902674344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912258989"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1912258989
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912905159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 213.0,
              "providers": [
                {
                  "billed_charge": 243.0,
                  "npi": [
                    1912905159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912955139"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1912955139
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972091221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.5,
              "providers": [
                {
                  "billed_charge": 78.5,
                  "npi": [
                    1972091221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972391480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1972391480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972598308"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1972598308
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023005873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1023005873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023504180"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1023504180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033790423"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1033790423
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043306020"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1043306020
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083249114"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1083249114
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1083249114
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164684700"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1164684700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174693519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.46,
              "providers": [
                {
                  "billed_charge": 193.43,
                  "npi": [
                    1174693519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194042036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1194042036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215321971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1215321971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275314767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.82,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1275314767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295193399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 213.0,
                  "npi": [
                    1295193399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396382321"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396382321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407864168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 352.0,
                  "npi": [
                    1407864168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467449926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.46,
              "providers": [
                {
                  "billed_charge": 149.42,
                  "npi": [
                    1467449926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508543380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.45,
              "providers": [
                {
                  "billed_charge": 238.45,
                  "npi": [
                    1508543380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528032596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1528032596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528204823"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1528204823
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548697196"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1548697196
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568044758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1568044758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598964348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1598964348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629074299"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.75,
              "providers": [
                {
                  "billed_charge": 51.75,
                  "npi": [
                    1629074299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770295594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1770295594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770697104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.46,
              "providers": [
                {
                  "billed_charge": 129.46,
                  "npi": [
                    1770697104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851000855"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1851000855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871595843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1871595843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891372298"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.74,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1891372298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932563640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1932563640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932811775"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1932811775
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code": "3079F",
      "billing_code_type_version": "2026",
      "description": "3079F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306509757"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1306509757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487973996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1487973996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1588665145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679570352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861721839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1861721839
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.07,
              "providers": [
                {
                  "billed_charge": 151.3,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134345705"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 321.08,
                  "npi": [
                    1134345705
                  ]
                }
              ]
            },
            {
              "allowed_amount": 321.08,
              "providers": [
                {
                  "billed_charge": 321.08,
                  "npi": [
                    1134345705
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.44,
              "providers": [
                {
                  "billed_charge": 141.44,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174967368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1174967368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194958223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1194958223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235591223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.5,
              "providers": [
                {
                  "billed_charge": 139.5,
                  "npi": [
                    1235591223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265534093"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1265534093
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275848160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1275848160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316988215"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.26,
              "providers": [
                {
                  "billed_charge": 164.26,
                  "npi": [
                    1316988215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427388131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1427388131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427679067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437122009"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 281.6,
              "providers": [
                {
                  "billed_charge": 333.6,
                  "npi": [
                    1437122009
                  ]
                }
              ]
            },
            {
              "allowed_amount": 402.09,
              "providers": [
                {
                  "billed_charge": 402.09,
                  "npi": [
                    1437122009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.68,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497942890"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1497942890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568130946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 233.0,
                  "npi": [
                    1568130946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568414142"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.87,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1568414142
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619195153"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1619195153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "22",
            "11",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.41,
              "providers": [
                {
                  "billed_charge": 132.41,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699237057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 231.0,
              "providers": [
                {
                  "billed_charge": 231.0,
                  "npi": [
                    1699237057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.88,
              "providers": [
                {
                  "billed_charge": 153.88,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740438423"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1740438423
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750317228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.95,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.06,
              "providers": [
                {
                  "billed_charge": 175.95,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.95,
              "providers": [
                {
                  "billed_charge": 175.95,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811125644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1811125644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.84,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871930917"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1871930917
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.68,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1871930917
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902886492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1902886492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962486316"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1962486316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972532091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 389.49,
                  "npi": [
                    1972532091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992904205"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1992904205
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1992904205
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.68,
              "providers": [
                {
                  "billed_charge": 11.68,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174602908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1174602908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 21.87,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255307732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.68,
              "providers": [
                {
                  "billed_charge": 15.68,
                  "npi": [
                    1255307732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                },
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.27,
              "providers": [
                {
                  "billed_charge": 8.27,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.02,
              "providers": [
                {
                  "billed_charge": 21.02,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437222312"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.5,
              "providers": [
                {
                  "billed_charge": 10.5,
                  "npi": [
                    1437222312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447296272"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1447296272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.02,
              "providers": [
                {
                  "billed_charge": 21.02,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639135643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720279805"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1720279805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.25,
              "providers": [
                {
                  "billed_charge": 17.25,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.22,
              "providers": [
                {
                  "billed_charge": 12.22,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.44,
              "providers": [
                {
                  "billed_charge": 24.44,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 31.37,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992894695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992894695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.75,
              "providers": [
                {
                  "billed_charge": 9.75,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093096638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 92.0,
                  "npi": [
                    1093096638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124650239"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1124650239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235129214"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 345.8,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316973472"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1316973472
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609921402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1609921402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710952262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.76,
              "providers": [
                {
                  "billed_charge": 20.76,
                  "npi": [
                    1710952262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "11",
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.88,
              "providers": [
                {
                  "billed_charge": 6.88,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881583730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1881583730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912319997"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1912319997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952460149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1952460149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952870487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1952870487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 327.75,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003035346"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1003035346
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003356700"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1003356700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033237011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1033237011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033625694"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1033625694
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033845276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1033845276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033973250"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1033973250
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1033973250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.96,
              "providers": [
                {
                  "billed_charge": 183.96,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053825380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1053825380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073040564"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1073040564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073054219"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1073054219
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073585592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1073585592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083473607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1083473607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083875736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1083875736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093470015"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1093470015
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114789906"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1114789906
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1114789906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124345152"
          },
          "service_code": [
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1124345152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144735796"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1144735796
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1144735796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154512887"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1154512887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154892784"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1154892784
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174007934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1174007934
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1174007934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174253108"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1174253108
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194328237"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.88,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1194328237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205053154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 154.29,
                  "npi": [
                    1205053154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215549167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1215549167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225863418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1225863418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235088493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1235088493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235721051"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1235721051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255656773"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1255656773
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265503536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1265503536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265722813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1265722813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275234767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1275234767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285283069"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1285283069
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295096758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.09,
              "providers": [
                {
                  "billed_charge": 144.09,
                  "npi": [
                    1295096758
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.19,
              "providers": [
                {
                  "billed_charge": 144.19,
                  "npi": [
                    1295096758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295320786"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1295320786
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306040969"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306040969
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1306040969
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316289796"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1316289796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336285576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1336285576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336538545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336538545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "11",
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346640430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1346640430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356160394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1356160394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356731798"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1356731798
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366187254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1366187254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366672602"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1366672602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376043398"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376043398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376734582"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376734582
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396250338"
          },
          "service_code": [
            "11",
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396250338
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1396250338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396317590"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.16,
              "providers": [
                {
                  "billed_charge": 21.16,
                  "npi": [
                    1396317590
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1396317590
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396430765"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1396430765
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396490165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396490165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396534053"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1396534053
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407536436"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1407536436
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407536436
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417438946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1417438946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427873710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1427873710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427898725"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427898725
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437626587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1437626587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447826318"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1447826318
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457752776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1457752776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457910788"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1457910788
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467114165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1467114165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467151191"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1467151191
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477352953"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1477352953
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477992394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1477992394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508394727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.12,
              "providers": [
                {
                  "billed_charge": 144.37,
                  "npi": [
                    1508394727
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1508394727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508516634"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1508516634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1508516634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508566746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1508566746
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518675180"
          },
          "service_code": [
            "11",
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528337706"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1528337706
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538104633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538104633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538203658"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1538203658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538591839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1538591839
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538717442"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538717442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548787823"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1548787823
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548988975"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1548988975
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558837294"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1558837294
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1558837294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568010338"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1568010338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578186961"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1578186961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598132987"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1598132987
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1598132987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598217721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1598217721
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619072659"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1619072659
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1619072659
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619213220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1619213220
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1619213220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619667359"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1619667359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639468127"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1639468127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659843134"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1659843134
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669542643"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 223.0,
                  "npi": [
                    1669542643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679079651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1679079651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679323547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1679323547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699576488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1699576488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700444593"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.75,
              "providers": [
                {
                  "billed_charge": 123.75,
                  "npi": [
                    1700444593
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1700444593
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700682101"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1700682101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710385968"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710385968
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710385968
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710539580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1710539580
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1710539580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710974035"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1710974035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720400070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1720400070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720899602"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1720899602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730654047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1730654047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730805763"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1730805763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730953118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1730953118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740130962"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1740130962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740151844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1740151844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750882460"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1750882460
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750951539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1750951539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750966982"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1750966982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750985537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1750985537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760114201"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1760114201
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760171896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.58,
              "providers": [
                {
                  "billed_charge": 108.58,
                  "npi": [
                    1760171896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1760171896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760201461"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1760201461
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1760201461
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760988745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1760988745
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1760988745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780137950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1780137950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801169743"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1801169743
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811660962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1811660962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811984081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1811984081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            },
            {
              "allowed_amount": 186.53,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821955964"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1821955964
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831554872"
          },
          "service_code": [
            "11",
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.9,
              "providers": [
                {
                  "billed_charge": 102.9,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.62,
              "providers": [
                {
                  "billed_charge": 128.62,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831695469"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1831695469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851106702"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1851106702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891226239"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1891226239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902078983"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1902078983
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902665698"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902829880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1902829880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912419870"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1912419870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912607706"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1912607706
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912668435"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1912668435
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922031749"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1922031749
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922862010"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1922862010
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932510385"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1932510385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 245.28,
                  "npi": [
                    1942296033
                  ]
                },
                {
                  "billed_charge": 327.04,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952177644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1952177644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952916363"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1952916363
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1952916363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962474932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1962474932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1962474932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972140044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972504256"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1972504256
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982769212"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1982769212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    9999999999
                  ]
                },
                {
                  "billed_charge": 165.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 176.0,
              "providers": [
                {
                  "billed_charge": 176.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164957890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.55,
              "providers": [
                {
                  "billed_charge": 95.55,
                  "npi": [
                    1164957890
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.56,
              "providers": [
                {
                  "billed_charge": 95.56,
                  "npi": [
                    1164957890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275573073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.27,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1275573073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295288694"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.25,
              "providers": [
                {
                  "billed_charge": 101.25,
                  "npi": [
                    1295288694
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1295288694
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336522457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1336522457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356339857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.71,
              "providers": [
                {
                  "billed_charge": 17.71,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.92,
              "providers": [
                {
                  "billed_charge": 23.92,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366495897"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.33,
              "providers": [
                {
                  "billed_charge": 18.33,
                  "npi": [
                    1366495897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.99,
              "providers": [
                {
                  "billed_charge": 74.99,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.99,
              "providers": [
                {
                  "billed_charge": 149.99,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 183.8,
              "providers": [
                {
                  "billed_charge": 183.8,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 224.98,
              "providers": [
                {
                  "billed_charge": 224.98,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 238.21,
              "providers": [
                {
                  "billed_charge": 238.21,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 299.97,
              "providers": [
                {
                  "billed_charge": 299.97,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.71,
              "providers": [
                {
                  "billed_charge": 17.71,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.76,
              "providers": [
                {
                  "billed_charge": 19.76,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.77,
              "providers": [
                {
                  "billed_charge": 19.77,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.39,
              "providers": [
                {
                  "billed_charge": 25.39,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.76,
              "providers": [
                {
                  "billed_charge": 25.76,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.75,
              "providers": [
                {
                  "billed_charge": 26.75,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 45.94,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427907195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.27,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1427907195
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1427907195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 64.0,
              "providers": [
                {
                  "billed_charge": 64.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538238274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.27,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538238274
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538238274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1801937008
                  ]
                },
                {
                  "billed_charge": 380.0,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811089147"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.25,
              "providers": [
                {
                  "billed_charge": 15.25,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.09,
              "providers": [
                {
                  "billed_charge": 20.09,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821085028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821085028
                  ]
                },
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851934004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1851934004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.04,
              "providers": [
                {
                  "billed_charge": 16.04,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.76,
              "providers": [
                {
                  "billed_charge": 19.76,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.77,
              "providers": [
                {
                  "billed_charge": 19.77,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.58,
              "providers": [
                {
                  "billed_charge": 23.58,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.75,
              "providers": [
                {
                  "billed_charge": 26.75,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.27,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 177.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245283993"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 70.8,
                  "npi": [
                    1245283993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.76,
              "providers": [
                {
                  "billed_charge": 23.76,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 128.15,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.01,
              "providers": [
                {
                  "billed_charge": 82.72,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure folic acid in serum",
      "billing_code_type": "CPT",
      "billing_code": "82746",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure folic acid in serum",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.8,
              "providers": [
                {
                  "billed_charge": 4.8,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.08,
              "providers": [
                {
                  "billed_charge": 33.08,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.73,
              "providers": [
                {
                  "billed_charge": 45.2,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.7,
              "providers": [
                {
                  "billed_charge": 14.7,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure aspartate amino transferase (ast) (sgot)",
      "billing_code_type": "CPT",
      "billing_code": "84450",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure aspartate amino transferase (ast) (sgot)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.2,
              "providers": [
                {
                  "billed_charge": 11.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.66,
              "providers": [
                {
                  "billed_charge": 11.66,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nurse visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Nurse visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 262.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013296599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1013296599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013752773"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1013752773
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.44,
              "providers": [
                {
                  "billed_charge": 141.44,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20",
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 124.77,
              "providers": [
                {
                  "billed_charge": 124.77,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 203.15,
              "providers": [
                {
                  "billed_charge": 203.15,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043317308"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.25,
              "providers": [
                {
                  "billed_charge": 100.25,
                  "npi": [
                    1043317308
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 203.15,
              "providers": [
                {
                  "billed_charge": 203.15,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043958473"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 374.0,
                  "npi": [
                    1043958473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073054219"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1073054219
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073669297"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.0,
              "providers": [
                {
                  "billed_charge": 499.2,
                  "npi": [
                    1073669297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114480134"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1114480134
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134144322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1134144322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.44,
              "providers": [
                {
                  "billed_charge": 141.44,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 218.28,
              "providers": [
                {
                  "billed_charge": 218.28,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.8,
              "providers": [
                {
                  "billed_charge": 256.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144539412"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1144539412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154506483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1154506483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174007934"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1174007934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174058333"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1174058333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174602908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1174602908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174859508"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1174859508
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194078055"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1194078055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194495150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1194495150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194982926"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1194982926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205862349"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1205862349
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215435367"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.51,
              "providers": [
                {
                  "billed_charge": 111.51,
                  "npi": [
                    1215435367
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 163.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225165426"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1225165426
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.8,
              "providers": [
                {
                  "billed_charge": 256.8,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245395870"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1245395870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.12,
              "providers": [
                {
                  "billed_charge": 193.12,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255307732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.96,
              "providers": [
                {
                  "billed_charge": 83.96,
                  "npi": [
                    1255307732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265436927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1265436927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285632430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1285632430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285729335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1285729335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295157675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1295157675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295717338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1295717338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.21,
              "providers": [
                {
                  "billed_charge": 156.21,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306468418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1306468418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306629548"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1306629548
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306945084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.8,
              "providers": [
                {
                  "billed_charge": 155.8,
                  "npi": [
                    1306945084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346422425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1346422425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356339857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356884837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 357.03,
                  "npi": [
                    1356884837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "02",
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            },
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366611923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1366611923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376325415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1376325415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386644938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1386644938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386688364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1386688364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.77,
              "providers": [
                {
                  "billed_charge": 124.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 255.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 291.02,
              "providers": [
                {
                  "billed_charge": 291.02,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417339169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1417339169
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1417339169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437151776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1437151776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437181203"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1437181203
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457899932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1457899932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477077329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1477077329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497482111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1497482111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508062191"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1508062191
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508817644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1508817644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518200500"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1518200500
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1518200500
                  ]
                }
              ]
            },
            {
              "allowed_amount": 197.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1518200500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518286269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1518286269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518675180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538179890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1538179890
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.8,
              "providers": [
                {
                  "billed_charge": 256.8,
                  "npi": [
                    1538179890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558005959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1558005959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568495299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.2,
              "providers": [
                {
                  "billed_charge": 147.2,
                  "npi": [
                    1568495299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568727048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 248.27,
                  "npi": [
                    1568727048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.0,
              "providers": [
                {
                  "billed_charge": 171.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1588665145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619072659"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1619072659
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639135643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669076485"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1669076485
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669130464"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1669130464
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679570352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            },
            {
              "allowed_amount": 218.28,
              "providers": [
                {
                  "billed_charge": 218.28,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689676934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1689676934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700842796"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1700842796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710982145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1710982145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720049059"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1720049059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720155534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1720155534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720346133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1720346133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750910188"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1750910188
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760660401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1760660401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770959223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.8,
              "providers": [
                {
                  "billed_charge": 155.8,
                  "npi": [
                    1770959223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790760163"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1790760163
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801009543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1801009543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811125644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1811125644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811178254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.28,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861102105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.06,
              "providers": [
                {
                  "billed_charge": 64.06,
                  "npi": [
                    1861102105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861721839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1861721839
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902119894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1902119894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902358062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1902358062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932407921"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1932407921
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932510385"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1932510385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932944642"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1932944642
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942274410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1942274410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942275813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1942275813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 220.71,
              "providers": [
                {
                  "billed_charge": 220.71,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942657358"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.8,
              "providers": [
                {
                  "billed_charge": 104.8,
                  "npi": [
                    1942657358
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952019556"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1952019556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952300550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1952300550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962457838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1962457838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962729368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.89,
              "providers": [
                {
                  "billed_charge": 119.89,
                  "npi": [
                    1962729368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 224.28,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "02",
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.36,
              "providers": [
                {
                  "billed_charge": 111.36,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            },
            {
              "allowed_amount": 350.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982111084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1982111084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982632741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1982632741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992770739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1992770739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for allergy immunotherapy",
      "billing_code_type": "CPT",
      "billing_code": "95117",
      "billing_code_type_version": "2026",
      "description": "Provider fee for allergy immunotherapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.4,
              "providers": [
                {
                  "billed_charge": 22.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861520173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.4,
                  "npi": [
                    1861520173
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1861520173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871692996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1871692996
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.42,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1871692996
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003674862"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1003674862
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1003674862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013773506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1013773506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033620463"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1033620463
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053268391"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.19,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1053268391
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104118132"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1104118132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104570761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1104570761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114468071"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1114468071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114472537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1114472537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124136791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1124136791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124321492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1124321492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154980704"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1154980704
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164014874"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1164014874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174266365"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1174266365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205195633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1205195633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245870492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245870492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245874684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1245874684
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1245874684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275234767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1275234767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275793028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1275793028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295227718"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1295227718
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336762327"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1336762327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346430253"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1346430253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417321027"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1417321027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518439801"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1518439801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528849635"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.19,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1528849635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558071027"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558101626"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1558101626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568416071"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1568416071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568902864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 219.0,
                  "npi": [
                    1568902864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578089348"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1578089348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578147070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1578147070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639782923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1639782923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669504098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1669504098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679455216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1679455216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689421620"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1689421620
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699168591"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1699168591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710718937"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1710718937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730443631"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1730443631
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730876632"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1730876632
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740041987"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.02,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1740041987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740540111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1740540111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770870008"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1770870008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790443927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1790443927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821762261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.68,
              "providers": [
                {
                  "billed_charge": 106.68,
                  "npi": [
                    1821762261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841532215"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.88,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1841532215
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1841532215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851175483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1851175483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851312730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1851312730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851437826"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1851437826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881025179"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1881025179
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881789634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1881789634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902674344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1902674344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922574854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1922574854
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972138238"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.59,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            },
            {
              "allowed_amount": 164.31,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992379184"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1992379184
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992480131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1992480131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114003779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1114003779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144096553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1144096553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225091341"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.85,
              "providers": [
                {
                  "billed_charge": 10.85,
                  "npi": [
                    1225091341
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346343761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1346343761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386670834"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.25,
              "providers": [
                {
                  "billed_charge": 62.25,
                  "npi": [
                    1386670834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.53,
              "providers": [
                {
                  "billed_charge": 25.53,
                  "npi": [
                    1437186111
                  ]
                },
                {
                  "billed_charge": 489.25,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 90.64,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548315898"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.81,
              "providers": [
                {
                  "billed_charge": 29.19,
                  "npi": [
                    1548315898
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679655492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1679655492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679664395"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1679664395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.1,
              "providers": [
                {
                  "billed_charge": 77.1,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790340511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.81,
              "providers": [
                {
                  "billed_charge": 28.81,
                  "npi": [
                    1790340511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962462226"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.66,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1962462226
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure free thyroxine",
      "billing_code_type": "CPT",
      "billing_code": "84439",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure free thyroxine",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.3,
              "providers": [
                {
                  "billed_charge": 20.3,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.3,
              "providers": [
                {
                  "billed_charge": 20.3,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 30.55,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.72,
              "providers": [
                {
                  "billed_charge": 30.55,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.55,
              "providers": [
                {
                  "billed_charge": 30.55,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1356028666"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1356028666
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376420471"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1376420471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487347027"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1487347027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487820122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.0,
              "providers": [
                {
                  "billed_charge": 164.0,
                  "npi": [
                    1487820122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730876632"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1730876632
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396045969"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.55,
              "providers": [
                {
                  "billed_charge": 95.55,
                  "npi": [
                    1396045969
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.4,
              "providers": [
                {
                  "billed_charge": 129.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 238.21,
              "providers": [
                {
                  "billed_charge": 238.21,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 299.97,
              "providers": [
                {
                  "billed_charge": 299.97,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609899061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.55,
              "providers": [
                {
                  "billed_charge": 37.55,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.59,
              "providers": [
                {
                  "billed_charge": 54.59,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790959864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1790959864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821085028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831414689"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.76,
              "providers": [
                {
                  "billed_charge": 19.76,
                  "npi": [
                    1831414689
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902844350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942913132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.71,
              "providers": [
                {
                  "billed_charge": 128.71,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063175024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.59,
              "providers": [
                {
                  "billed_charge": 110.59,
                  "npi": [
                    1063175024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134117849"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1134117849
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225085855"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1225085855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225561467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 74.14,
                  "npi": [
                    1225561467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245244367"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1245244367
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255436119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1255436119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295736064"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.38,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1295736064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386192953"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1386192953
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407351570"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.75,
              "providers": [
                {
                  "billed_charge": 210.75,
                  "npi": [
                    1407351570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407880909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.6,
              "providers": [
                {
                  "billed_charge": 60.6,
                  "npi": [
                    1407880909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447252614"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1447252614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467636399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.08,
              "providers": [
                {
                  "billed_charge": 120.08,
                  "npi": [
                    1467636399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497784144"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.91,
              "providers": [
                {
                  "billed_charge": 48.91,
                  "npi": [
                    1497784144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508463506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1508463506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528528726"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1528528726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598821175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609097971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.75,
              "providers": [
                {
                  "billed_charge": 139.75,
                  "npi": [
                    1609097971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609247949"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.95,
              "providers": [
                {
                  "billed_charge": 96.95,
                  "npi": [
                    1609247949
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669669917"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.06,
              "providers": [
                {
                  "billed_charge": 100.96,
                  "npi": [
                    1669669917
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669756532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1669756532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.86,
              "providers": [
                {
                  "billed_charge": 520.0,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679742480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.24,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1679742480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689822827"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1689822827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699545582"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.99,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1699545582
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710274014"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1710274014
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720179351"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1720179351
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720687007"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1720687007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 229.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770993453"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1770993453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780874206"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1780874206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831661073"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1831661073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891756870"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1891756870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902882939"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 281.0,
                  "npi": [
                    1902882939
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962233668"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1962233668
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972086452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1972086452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982903951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982903951
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1982903951
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "billing_code_type": "CPT",
      "billing_code": "82306",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.8,
              "providers": [
                {
                  "billed_charge": 64.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.0,
              "providers": [
                {
                  "billed_charge": 81.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.6,
              "providers": [
                {
                  "billed_charge": 66.6,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urgent care center visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Urgent care center visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316695612"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1316695612
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457465858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.45,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1457465858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568729945"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 74.16,
              "providers": [
                {
                  "billed_charge": 74.16,
                  "npi": [
                    1568729945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578336400"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.5,
              "providers": [
                {
                  "billed_charge": 75.5,
                  "npi": [
                    1578336400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578556890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.63,
              "providers": [
                {
                  "billed_charge": 88.63,
                  "npi": [
                    1578556890
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.37,
              "providers": [
                {
                  "billed_charge": 162.37,
                  "npi": [
                    1578556890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.44,
              "providers": [
                {
                  "billed_charge": 108.44,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659475762"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.81,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1659475762
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699858688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1699858688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700034956"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.25,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1700034956
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720049059"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1720049059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831293943"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.81,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1831293943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.17,
              "providers": [
                {
                  "billed_charge": 62.17,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 198.53,
              "providers": [
                {
                  "billed_charge": 198.53,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891892097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.06,
              "providers": [
                {
                  "billed_charge": 239.08,
                  "npi": [
                    1891892097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902869217"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1902869217
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912142001"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1912142001
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.02,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013637578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1013637578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164728481"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1164728481
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225368434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1225368434
                  ]
                }
              ]
            },
            {
              "allowed_amount": 131.25,
              "providers": [
                {
                  "billed_charge": 131.25,
                  "npi": [
                    1225368434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255756565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1255756565
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1255756565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275553463"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 487.0,
                  "npi": [
                    1275553463
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588319396"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1588319396
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588402150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1588402150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649853391"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1649853391
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760863229"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 385.0,
              "providers": [
                {
                  "billed_charge": 385.0,
                  "npi": [
                    1760863229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831769702"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1831769702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952549628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1952549628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043442478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1043442478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063894087"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1063894087
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073399739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1073399739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083125710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1083125710
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1083125710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083396295"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1083396295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114301041"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1114301041
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114466489"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1114466489
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1114466489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124776588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1124776588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144581489"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1144581489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144728346"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1144728346
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164185245"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1164185245
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194509455"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1194509455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215153424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1215153424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215216486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1215216486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215721923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1215721923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235600834"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.91,
              "providers": [
                {
                  "billed_charge": 117.91,
                  "npi": [
                    1235600834
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1235600834
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235600834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235785817"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235785817
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1235785817
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235855628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1235855628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255530788"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 201.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1255530788
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265249544"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1265249544
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275256836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1275256836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285261016"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1285261016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316230899"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1316230899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326353640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1326353640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356020044"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1356020044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366907404"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.02,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1366907404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376950121"
          },
          "service_code": [
            "02",
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376950121
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437657160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1437657160
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1437657160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447775416"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1447775416
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447986963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1447986963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477141125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1477141125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477314441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1477314441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477619195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1477619195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508216615"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1508216615
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1508216615
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548800261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1548800261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588793095"
          },
          "service_code": [
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1588793095
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629480157"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1629480157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629744164"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1629744164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659681716"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1659681716
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679859292"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.3,
              "providers": [
                {
                  "billed_charge": 150.3,
                  "npi": [
                    1679859292
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1679859292
                  ]
                },
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1679859292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689103376"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1689103376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720439052"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1720439052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760959779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1760959779
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1760959779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821873605"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1821873605
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851981005"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1851981005
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932347150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1932347150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932978863"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1932978863
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942026661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1942026661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962888933"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1962888933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure estradiol (hormone) level",
      "billing_code_type": "CPT",
      "billing_code": "82670",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure estradiol (hormone) level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.6,
              "providers": [
                {
                  "billed_charge": 11.6,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.92,
              "providers": [
                {
                  "billed_charge": 35.92,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.92,
              "providers": [
                {
                  "billed_charge": 35.92,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.94,
              "providers": [
                {
                  "billed_charge": 27.94,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.94,
              "providers": [
                {
                  "billed_charge": 27.94,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.24,
              "providers": [
                {
                  "billed_charge": 21.24,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760118483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.95,
              "providers": [
                {
                  "billed_charge": 23.95,
                  "npi": [
                    1760118483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760599146"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1760599146
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841408283"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.74,
              "providers": [
                {
                  "billed_charge": 30.74,
                  "npi": [
                    1841408283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013734144"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013734144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033219225"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1033219225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033677588"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1033677588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033772421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1033772421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093284424"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1093284424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215453204"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1215453204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225695091"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1225695091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265156350"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.0,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1265156350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265923452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1265923452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316652894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1316652894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316710924"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1316710924
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356699243"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1356699243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366261604"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1366261604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487651170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1487651170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528165065"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1528165065
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629022330"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.35,
              "providers": [
                {
                  "billed_charge": 115.35,
                  "npi": [
                    1629022330
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730536723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1730536723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780136267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 187.5,
                  "npi": [
                    1780136267
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.5,
              "providers": [
                {
                  "billed_charge": 187.5,
                  "npi": [
                    1780136267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790093664"
          },
          "service_code": [
            "10",
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.0,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1790093664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.27,
              "providers": [
                {
                  "billed_charge": 135.27,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821281981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1821281981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003945353"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 248.72,
                  "npi": [
                    1003945353
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013100130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 144.0,
                  "npi": [
                    1013100130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043298474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.52,
              "providers": [
                {
                  "billed_charge": 56.52,
                  "npi": [
                    1043298474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043493794"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.66,
              "providers": [
                {
                  "billed_charge": 378.0,
                  "npi": [
                    1043493794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043735509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1043735509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053321042"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1053321042
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063089571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1063089571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063282390"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1063282390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 224.0,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.08,
              "providers": [
                {
                  "billed_charge": 203.01,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 203.01,
              "providers": [
                {
                  "billed_charge": 203.01,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073266292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.1,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1073266292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073508545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 243.0,
                  "npi": [
                    1073508545
                  ]
                },
                {
                  "billed_charge": 265.0,
                  "npi": [
                    1073508545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073523452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.71,
              "providers": [
                {
                  "billed_charge": 224.0,
                  "npi": [
                    1073523452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083688980"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1083688980
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093245979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1093245979
                  ]
                }
              ]
            },
            {
              "allowed_amount": 132.16,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1093245979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093740128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1093740128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104045251"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1104045251
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104323344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.66,
              "providers": [
                {
                  "billed_charge": 167.05,
                  "npi": [
                    1104323344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104966050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1104966050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114022167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 387.87,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 387.87,
              "providers": [
                {
                  "billed_charge": 387.87,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114250701"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.89,
              "providers": [
                {
                  "billed_charge": 179.67,
                  "npi": [
                    1114250701
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114317062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.31,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1114317062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.48,
              "providers": [
                {
                  "billed_charge": 145.98,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124147913"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1124147913
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124560149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 298.0,
                  "npi": [
                    1124560149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134544679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1134544679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134963234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1134963234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164471116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.11,
              "providers": [
                {
                  "billed_charge": 30.11,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164494068"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1164494068
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.41,
              "providers": [
                {
                  "billed_charge": 118.41,
                  "npi": [
                    1164494068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164646139"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1164646139
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194187849"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1194187849
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205461019"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 338.0,
                  "npi": [
                    1205461019
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.04,
              "providers": [
                {
                  "billed_charge": 338.0,
                  "npi": [
                    1205461019
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235131335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1235131335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235678756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.99,
              "providers": [
                {
                  "billed_charge": 275.8,
                  "npi": [
                    1235678756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245777440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 197.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1245777440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255617833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.83,
              "providers": [
                {
                  "billed_charge": 104.83,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265016174"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1265016174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265096317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 317.0,
                  "npi": [
                    1265096317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265544357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.25,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1265544357
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1265544357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275542011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1275542011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285615286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1285615286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285684225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295749067"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1295749067
                  ]
                }
              ]
            },
            {
              "allowed_amount": 133.8,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1295749067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306392394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 232.68,
                  "npi": [
                    1306392394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306817804"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306817804
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.89,
              "providers": [
                {
                  "billed_charge": 112.89,
                  "npi": [
                    1306817804
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316758998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.08,
              "providers": [
                {
                  "billed_charge": 227.51,
                  "npi": [
                    1316758998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326392648"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 257.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1326392648
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356501522"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.79,
              "providers": [
                {
                  "billed_charge": 171.79,
                  "npi": [
                    1356501522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366860991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1366860991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376513911"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.8,
              "providers": [
                {
                  "billed_charge": 243.0,
                  "npi": [
                    1376513911
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376594044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 230.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1376594044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376760108"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.0,
              "providers": [
                {
                  "billed_charge": 224.0,
                  "npi": [
                    1376760108
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386983195"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1386983195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427039254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1427039254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 209.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1427039254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427055821"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1427055821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427488394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.6,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1427488394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437139979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.0,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1437139979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437493467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 494.23,
                  "npi": [
                    1437493467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447554084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.4,
              "providers": [
                {
                  "billed_charge": 110.4,
                  "npi": [
                    1447554084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447619291"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1447619291
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447922265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 242.75,
              "providers": [
                {
                  "billed_charge": 242.75,
                  "npi": [
                    1447922265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457190159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.0,
              "providers": [
                {
                  "billed_charge": 166.0,
                  "npi": [
                    1457190159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457584450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1457584450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467708883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1467708883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467868547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1467868547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477515617"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1477515617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477652139"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1477652139
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477692051"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.4,
              "providers": [
                {
                  "billed_charge": 134.4,
                  "npi": [
                    1477692051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487137824"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.08,
              "providers": [
                {
                  "billed_charge": 310.23,
                  "npi": [
                    1487137824
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487949186"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1487949186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528666153"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1528666153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538135207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.32,
              "providers": [
                {
                  "billed_charge": 144.32,
                  "npi": [
                    1538135207
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.33,
              "providers": [
                {
                  "billed_charge": 144.33,
                  "npi": [
                    1538135207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548023583"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1548023583
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548226988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.6,
              "providers": [
                {
                  "billed_charge": 123.6,
                  "npi": [
                    1548226988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 285.18,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.24,
              "providers": [
                {
                  "billed_charge": 179.15,
                  "npi": [
                    1558380527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558689554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.63,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1558689554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588749618"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1588749618
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609114354"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 700.31,
                  "npi": [
                    1609114354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609382662"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1609382662
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609399609"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.34,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1609399609
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609930023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1609930023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619598505"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1619598505
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629050638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.1,
              "providers": [
                {
                  "billed_charge": 135.1,
                  "npi": [
                    1629050638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629687728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.46,
              "providers": [
                {
                  "billed_charge": 146.46,
                  "npi": [
                    1629687728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649766791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.25,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1649766791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659523207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1659523207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669570990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.02,
              "providers": [
                {
                  "billed_charge": 236.25,
                  "npi": [
                    1669570990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669631081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 211.0,
              "providers": [
                {
                  "billed_charge": 211.0,
                  "npi": [
                    1669631081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689645541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1689645541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689710790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1689710790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689902231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1689902231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699797878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1699797878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699927947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.92,
              "providers": [
                {
                  "billed_charge": 110.92,
                  "npi": [
                    1699927947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710144654"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.83,
              "providers": [
                {
                  "billed_charge": 104.83,
                  "npi": [
                    1710144654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720550015"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.6,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1720550015
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730181793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.06,
              "providers": [
                {
                  "billed_charge": 199.42,
                  "npi": [
                    1730181793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730463753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.1,
              "providers": [
                {
                  "billed_charge": 135.1,
                  "npi": [
                    1730463753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730501586"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1730501586
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750670998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.08,
              "providers": [
                {
                  "billed_charge": 158.48,
                  "npi": [
                    1750670998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750840062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 233.8,
              "providers": [
                {
                  "billed_charge": 265.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770141327"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1770141327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780623827"
          },
          "service_code": [
            "72",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1780623827
                  ]
                }
              ]
            },
            {
              "allowed_amount": 132.16,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1780623827
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.35,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1780623827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780711085"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1780711085
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.02,
              "providers": [
                {
                  "billed_charge": 130.02,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790285849"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 166.0,
                  "npi": [
                    1790285849
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790902617"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1790902617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801007786"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1801007786
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801521091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.22,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1801521091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801856786"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 373.08,
                  "npi": [
                    1801856786
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811956998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1811956998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821301979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.08,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1821301979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831728005"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 356.94,
                  "npi": [
                    1831728005
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851418404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1851418404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851543086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 348.0,
              "providers": [
                {
                  "billed_charge": 380.0,
                  "npi": [
                    1851543086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871589333"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.5,
              "providers": [
                {
                  "billed_charge": 203.01,
                  "npi": [
                    1871589333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881658334"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1881658334
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902170004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1902170004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902593536"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1902593536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912590209"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.5,
              "providers": [
                {
                  "billed_charge": 57.5,
                  "npi": [
                    1912590209
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.68,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1912590209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912994104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1912994104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922084227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.8,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1922084227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932594157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.52,
              "providers": [
                {
                  "billed_charge": 38.52,
                  "npi": [
                    1932594157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942949938"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1942949938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952703373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.97,
              "providers": [
                {
                  "billed_charge": 325.02,
                  "npi": [
                    1952703373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982072872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.38,
              "providers": [
                {
                  "billed_charge": 99.38,
                  "npi": [
                    1982072872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982193041"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1982193041
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992748693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1992748693
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1033154026
                  ]
                },
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043000433"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.64,
              "providers": [
                {
                  "billed_charge": 18.64,
                  "npi": [
                    1043000433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104909217"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1104909217
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154636488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.0,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1154636488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215960901"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 223.15,
                  "npi": [
                    1215960901
                  ]
                },
                {
                  "billed_charge": 446.3,
                  "npi": [
                    1215960901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386435758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.5,
              "providers": [
                {
                  "billed_charge": 54.5,
                  "npi": [
                    1386435758
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1386435758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407859481"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.87,
              "providers": [
                {
                  "billed_charge": 27.87,
                  "npi": [
                    1407859481
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194520106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1194520106
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1194520106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.75,
              "providers": [
                {
                  "billed_charge": 14.75,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235874074"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.34,
              "providers": [
                {
                  "billed_charge": 24.34,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.07,
              "providers": [
                {
                  "billed_charge": 32.07,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.08,
              "providers": [
                {
                  "billed_charge": 32.08,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245313378"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.84,
              "providers": [
                {
                  "billed_charge": 25.84,
                  "npi": [
                    1245313378
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275177057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.56,
              "providers": [
                {
                  "billed_charge": 17.56,
                  "npi": [
                    1275177057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306331756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.08,
              "providers": [
                {
                  "billed_charge": 32.08,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.2,
              "providers": [
                {
                  "billed_charge": 38.2,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.08,
              "providers": [
                {
                  "billed_charge": 39.08,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.3,
              "providers": [
                {
                  "billed_charge": 43.3,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.32,
              "providers": [
                {
                  "billed_charge": 43.32,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.57,
              "providers": [
                {
                  "billed_charge": 48.57,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.58,
              "providers": [
                {
                  "billed_charge": 48.58,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447295175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.24,
              "providers": [
                {
                  "billed_charge": 26.24,
                  "npi": [
                    1447295175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487249736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1487249736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487363040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.53,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1487363040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518254176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.5,
              "providers": [
                {
                  "billed_charge": 15.5,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.92,
              "providers": [
                {
                  "billed_charge": 16.92,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.15,
              "providers": [
                {
                  "billed_charge": 21.15,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538129440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.42,
              "providers": [
                {
                  "billed_charge": 26.42,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538547070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.54,
              "providers": [
                {
                  "billed_charge": 82.04,
                  "npi": [
                    1538547070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649714429"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.41,
              "providers": [
                {
                  "billed_charge": 28.41,
                  "npi": [
                    1649714429
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.42,
              "providers": [
                {
                  "billed_charge": 28.42,
                  "npi": [
                    1649714429
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.81,
              "providers": [
                {
                  "billed_charge": 44.74,
                  "npi": [
                    1649714429
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699905554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.94,
              "providers": [
                {
                  "billed_charge": 26.94,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.95,
              "providers": [
                {
                  "billed_charge": 26.95,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.87,
              "providers": [
                {
                  "billed_charge": 53.87,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760821524"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.75,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1760821524
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811773385"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.28,
              "providers": [
                {
                  "billed_charge": 24.28,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.02,
              "providers": [
                {
                  "billed_charge": 64.24,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.58,
              "providers": [
                {
                  "billed_charge": 48.58,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851343909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.49,
              "providers": [
                {
                  "billed_charge": 27.49,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.5,
              "providers": [
                {
                  "billed_charge": 27.5,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.76,
              "providers": [
                {
                  "billed_charge": 92.35,
                  "npi": [
                    1851343909
                  ]
                },
                {
                  "billed_charge": 92.5,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871738872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982797494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.6,
              "providers": [
                {
                  "billed_charge": 28.6,
                  "npi": [
                    1982797494
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023071867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.38,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1023071867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053824292"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1053824292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104966050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1104966050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.05,
              "providers": [
                {
                  "billed_charge": 15.05,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124073879"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124073879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154314789"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154314789
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.2,
              "providers": [
                {
                  "billed_charge": 13.2,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235576695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 53.0,
                  "npi": [
                    1235576695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255380127"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 119.2,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265486278"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1265486278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326275249"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1326275249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366515488"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 62.4,
                  "npi": [
                    1366515488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376504084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.86,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1376504084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 92.4,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.74,
              "providers": [
                {
                  "billed_charge": 24.74,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259627"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447259627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.64,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467427674"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 122.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 122.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588868947"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1588868947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 66.74,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639146772"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1639146772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 16.5,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649248626"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1649248626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.9,
              "providers": [
                {
                  "billed_charge": 7.9,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659523207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1659523207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699927947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.26,
              "providers": [
                {
                  "billed_charge": 30.26,
                  "npi": [
                    1699927947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700994977"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1700994977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.9,
              "providers": [
                {
                  "billed_charge": 12.9,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720051717"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1720051717
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750840062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760471585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.25,
              "providers": [
                {
                  "billed_charge": 7.25,
                  "npi": [
                    1760471585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780429076"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780429076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790888089"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 440.0,
                  "npi": [
                    1790888089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821011248"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 213.85,
              "providers": [
                {
                  "billed_charge": 213.85,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831378249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1831378249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841408283"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.4,
              "providers": [
                {
                  "billed_charge": 12.4,
                  "npi": [
                    1841408283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851343909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 1880.0,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922468156"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1922468156
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962985036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1962985036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982666111"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1982666111
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urgent care center visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Urgent care center visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013156710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1013156710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.88,
              "providers": [
                {
                  "billed_charge": 95.88,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.89,
              "providers": [
                {
                  "billed_charge": 98.89,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023145018"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1023145018
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033053947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1033053947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033709100"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.74,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1033709100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "10",
            "02",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043951619"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1043951619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053343004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.4,
              "providers": [
                {
                  "billed_charge": 88.4,
                  "npi": [
                    1053343004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053393181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1053393181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063855294"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1063855294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083938443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1083938443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104543586"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1104543586
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114289626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1114289626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114418738"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1114418738
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114480134"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1114480134
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114962172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1114962172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124750237"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1124750237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134785389"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1134785389
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.88,
              "providers": [
                {
                  "billed_charge": 95.88,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144881368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.4,
              "providers": [
                {
                  "billed_charge": 119.4,
                  "npi": [
                    1144881368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154506483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.43,
              "providers": [
                {
                  "billed_charge": 114.65,
                  "npi": [
                    1154506483
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1154506483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154541118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1154541118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154585115"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.2,
              "providers": [
                {
                  "billed_charge": 190.2,
                  "npi": [
                    1154585115
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154857340"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1154857340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164596961"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1164596961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174058333"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1174058333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174602908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.0,
              "providers": [
                {
                  "billed_charge": 132.0,
                  "npi": [
                    1174602908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174924872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1174924872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184004962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1184004962
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.8,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1184004962
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.2,
              "providers": [
                {
                  "billed_charge": 122.2,
                  "npi": [
                    1184004962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194768168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1194768168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194977900"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.55,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1194977900
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205933546"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1205933546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.76,
              "providers": [
                {
                  "billed_charge": 127.76,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 218.0,
              "providers": [
                {
                  "billed_charge": 218.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225031933"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1225031933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235230350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1235230350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.88,
              "providers": [
                {
                  "billed_charge": 95.88,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.88,
              "providers": [
                {
                  "billed_charge": 95.88,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245395870"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1245395870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.32,
              "providers": [
                {
                  "billed_charge": 135.32,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.2,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255921326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1255921326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285152199"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1285152199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295717338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1295717338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11",
            "10",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306468418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1306468418
                  ]
                },
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1306468418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306509757"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.01,
                  "npi": [
                    1306509757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316488224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1316488224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326538703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1326538703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346422425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1346422425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346568060"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1346568060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356339857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.5,
              "providers": [
                {
                  "billed_charge": 73.5,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            },
            {
              "allowed_amount": 87.41,
              "providers": [
                {
                  "billed_charge": 87.41,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1356339857
                  ]
                },
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356884837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.17,
                  "npi": [
                    1356884837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386075414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1386075414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386688364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1386688364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386706125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1386706125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386869261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1386869261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396185658"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1396185658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.2,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.67,
              "providers": [
                {
                  "billed_charge": 200.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 291.02,
              "providers": [
                {
                  "billed_charge": 291.02,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407955008"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.16,
              "providers": [
                {
                  "billed_charge": 109.16,
                  "npi": [
                    1407955008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407995723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1407995723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417041336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1417041336
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1417041336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417460122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1417460122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.41,
              "providers": [
                {
                  "billed_charge": 87.41,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437181203"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1437181203
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437980174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1437980174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457548224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.79,
              "providers": [
                {
                  "billed_charge": 99.79,
                  "npi": [
                    1457548224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467418418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1467418418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487277166"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1487277166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518200500"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.6,
              "providers": [
                {
                  "billed_charge": 81.6,
                  "npi": [
                    1518200500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538002142"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.46,
              "providers": [
                {
                  "billed_charge": 55.46,
                  "npi": [
                    1538002142
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558791384"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1558791384
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558807826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1558807826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568842813"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588157978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.5,
              "providers": [
                {
                  "billed_charge": 73.5,
                  "npi": [
                    1588157978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588390942"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 249.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 349.0,
              "providers": [
                {
                  "billed_charge": 349.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.16,
              "providers": [
                {
                  "billed_charge": 156.6,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            },
            {
              "allowed_amount": 249.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639135643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 132.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639172661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1639172661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659731818"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1659731818
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669542643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1669542643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669610713"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1669610713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679195770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1679195770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679570352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679651640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1679651640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679901649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.0,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689362808"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1689362808
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689676934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1689676934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.97,
              "providers": [
                {
                  "billed_charge": 90.97,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699700526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1699700526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710174271"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1710174271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710183520"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1710183520
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710183520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720155534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1720155534
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1720155534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720346133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1720346133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730124942"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1730124942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740948561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1740948561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760523187"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1760523187
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760660401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.79,
              "providers": [
                {
                  "billed_charge": 130.79,
                  "npi": [
                    1760660401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801009543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1801009543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811125644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1811125644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.0,
              "providers": [
                {
                  "billed_charge": 141.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831226398"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1831226398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851707012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1851707012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861520173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1861520173
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.0,
              "providers": [
                {
                  "billed_charge": 57.0,
                  "npi": [
                    1861520173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861783680"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.35,
              "providers": [
                {
                  "billed_charge": 155.35,
                  "npi": [
                    1861783680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861857732"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1861857732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871007567"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1871007567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871599555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1871599555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871692996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1871692996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891226239"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1891226239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891879680"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.07,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1891879680
                  ]
                }
              ]
            },
            {
              "allowed_amount": 221.29,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1891879680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902624455"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1902624455
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1902624455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912074048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1912074048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922031400"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1922031400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932510385"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1932510385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942275813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1942275813
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1942275813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.95,
              "providers": [
                {
                  "billed_charge": 70.95,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                },
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.74,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952304131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1952304131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962419978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.18,
              "providers": [
                {
                  "billed_charge": 99.18,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 99.88,
              "providers": [
                {
                  "billed_charge": 99.88,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962457838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1962457838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.01,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 142.64,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.26,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.74,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992894695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1992894695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 121.43,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 109.16,
              "providers": [
                {
                  "billed_charge": 109.16,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003971276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.44,
              "providers": [
                {
                  "billed_charge": 105.5,
                  "npi": [
                    1003971276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023742418"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.78,
              "providers": [
                {
                  "billed_charge": 109.78,
                  "npi": [
                    1023742418
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.8,
              "providers": [
                {
                  "billed_charge": 147.8,
                  "npi": [
                    1023742418
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1023742418
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1023742418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033563135"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.91,
              "providers": [
                {
                  "billed_charge": 83.91,
                  "npi": [
                    1033563135
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063422574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1063422574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083691703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.5,
              "providers": [
                {
                  "billed_charge": 113.5,
                  "npi": [
                    1083691703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104911817"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1104911817
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144499021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 145.06,
                  "npi": [
                    1144499021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144528928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1144528928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144543877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1144543877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144603978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.0,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1144603978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164702932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.93,
              "providers": [
                {
                  "billed_charge": 100.17,
                  "npi": [
                    1164702932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174501902"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1174501902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174556542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1174556542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194887075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 134.5,
                  "npi": [
                    1194887075
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.5,
              "providers": [
                {
                  "billed_charge": 167.5,
                  "npi": [
                    1194887075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225686991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1225686991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255404869"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1255404869
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255997847"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.39,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1255997847
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275929267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.16,
              "providers": [
                {
                  "billed_charge": 98.16,
                  "npi": [
                    1275929267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295296184"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1295296184
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316309735"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1316309735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326070939"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1326070939
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326109851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.31,
              "providers": [
                {
                  "billed_charge": 137.31,
                  "npi": [
                    1326109851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356781181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.88,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1356781181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376537084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1376537084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376605394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376605394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386361756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1386361756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437109899"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1437109899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447254131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1447254131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447385158"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.5,
              "providers": [
                {
                  "billed_charge": 120.5,
                  "npi": [
                    1447385158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346496"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1457346496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508810565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.29,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1508810565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538184635"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.83,
              "providers": [
                {
                  "billed_charge": 120.83,
                  "npi": [
                    1538184635
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1538184635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548848641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1548848641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568087708"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1568087708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588697635"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1588697635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609816123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1609816123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629318035"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1629318035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649288325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.1,
              "providers": [
                {
                  "billed_charge": 158.42,
                  "npi": [
                    1649288325
                  ]
                },
                {
                  "billed_charge": 195.03,
                  "npi": [
                    1649288325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659607075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1659607075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659667095"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1659667095
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669467601"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1669467601
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679208334"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 470.0,
                  "npi": [
                    1679208334
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 108.46,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689610149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750950044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1750950044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.39,
              "providers": [
                {
                  "billed_charge": 206.75,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861485146"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.5,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1861485146
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861553216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.5,
              "providers": [
                {
                  "billed_charge": 264.5,
                  "npi": [
                    1861553216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881084879"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.46,
              "providers": [
                {
                  "billed_charge": 294.85,
                  "npi": [
                    1881084879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891710679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1891710679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912198979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 271.5,
              "providers": [
                {
                  "billed_charge": 271.5,
                  "npi": [
                    1912198979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972080554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1972080554
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073927117"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.86,
              "providers": [
                {
                  "billed_charge": 877.0,
                  "npi": [
                    1073927117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "22",
            "23",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.75,
              "providers": [
                {
                  "billed_charge": 21.75,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.86,
              "providers": [
                {
                  "billed_charge": 160.86,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 387.0,
              "providers": [
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386980837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.15,
              "providers": [
                {
                  "billed_charge": 9.79,
                  "npi": [
                    1386980837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508810565"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.86,
              "providers": [
                {
                  "billed_charge": 160.86,
                  "npi": [
                    1508810565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.75,
              "providers": [
                {
                  "billed_charge": 21.75,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.55,
              "providers": [
                {
                  "billed_charge": 26.55,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811982770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811982770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851439830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.9,
              "providers": [
                {
                  "billed_charge": 12.9,
                  "npi": [
                    1851439830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.2,
              "providers": [
                {
                  "billed_charge": 51.2,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.4,
              "providers": [
                {
                  "billed_charge": 34.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.13,
              "providers": [
                {
                  "billed_charge": 30.13,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.69,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.69,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.13,
              "providers": [
                {
                  "billed_charge": 30.13,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720279805"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 46.87,
                  "npi": [
                    1720279805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760660401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.92,
              "providers": [
                {
                  "billed_charge": 17.92,
                  "npi": [
                    1760660401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 46.21,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.5,
              "providers": [
                {
                  "billed_charge": 81.5,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.13,
              "providers": [
                {
                  "billed_charge": 30.13,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.95,
              "providers": [
                {
                  "billed_charge": 28.6,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003200031"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.95,
              "providers": [
                {
                  "billed_charge": 28.95,
                  "npi": [
                    1003200031
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194434803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194434803
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1194434803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.33,
              "providers": [
                {
                  "billed_charge": 43.33,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316643901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.01,
              "providers": [
                {
                  "billed_charge": 26.01,
                  "npi": [
                    1316643901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326205543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.23,
              "providers": [
                {
                  "billed_charge": 15.23,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.79,
              "providers": [
                {
                  "billed_charge": 15.79,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.48,
              "providers": [
                {
                  "billed_charge": 42.48,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396139317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.87,
              "providers": [
                {
                  "billed_charge": 22.87,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.95,
              "providers": [
                {
                  "billed_charge": 28.95,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538649611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.95,
              "providers": [
                {
                  "billed_charge": 28.95,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.96,
              "providers": [
                {
                  "billed_charge": 28.96,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.79,
              "providers": [
                {
                  "billed_charge": 36.79,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.23,
              "providers": [
                {
                  "billed_charge": 37.23,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538828306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558831776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.66,
              "providers": [
                {
                  "billed_charge": 21.66,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.79,
              "providers": [
                {
                  "billed_charge": 36.79,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.8,
              "providers": [
                {
                  "billed_charge": 36.8,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780460667"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 531.78,
              "providers": [
                {
                  "billed_charge": 531.78,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841637071"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.54,
              "providers": [
                {
                  "billed_charge": 11.54,
                  "npi": [
                    1841637071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942630272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.33,
              "providers": [
                {
                  "billed_charge": 18.33,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.79,
              "providers": [
                {
                  "billed_charge": 36.79,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194078055"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1194078055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205862349"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1205862349
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265436927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1265436927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346422425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1346422425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "11",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.99,
              "providers": [
                {
                  "billed_charge": 16.99,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.85,
              "providers": [
                {
                  "billed_charge": 21.85,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508817644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1508817644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518200500"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1518200500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.85,
              "providers": [
                {
                  "billed_charge": 21.85,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710982145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1710982145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811125644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1811125644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.5,
              "providers": [
                {
                  "billed_charge": 29.5,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.85,
              "providers": [
                {
                  "billed_charge": 21.85,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063441491"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1063441491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 20.7,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.08,
              "providers": [
                {
                  "billed_charge": 13.08,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.41,
              "providers": [
                {
                  "billed_charge": 20.41,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.35,
              "providers": [
                {
                  "billed_charge": 23.35,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720018971"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.82,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.12,
              "providers": [
                {
                  "billed_charge": 27.12,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.68,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 15.91,
                  "npi": [
                    1902839673
                  ]
                },
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.69,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003221243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.03,
              "providers": [
                {
                  "billed_charge": 140.5,
                  "npi": [
                    1003221243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073981999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.5,
              "providers": [
                {
                  "billed_charge": 91.5,
                  "npi": [
                    1073981999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104520477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1104520477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174857940"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1174857940
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225364524"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1225364524
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235129214"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.83,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235573841"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.7,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1235573841
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235912007"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.84,
              "providers": [
                {
                  "billed_charge": 140.84,
                  "npi": [
                    1235912007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475771"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.27,
              "providers": [
                {
                  "billed_charge": 147.27,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 169.81,
              "providers": [
                {
                  "billed_charge": 175.99,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245563097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.03,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1245563097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255741807"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.28,
              "providers": [
                {
                  "billed_charge": 123.31,
                  "npi": [
                    1255741807
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275520090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1275520090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285108084"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1285108084
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.03,
              "providers": [
                {
                  "billed_charge": 140.5,
                  "npi": [
                    1285108084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306025267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.89,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1306025267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316470594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.0,
              "providers": [
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1316470594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326780602"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1326780602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346858255"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1346858255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386031706"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1386031706
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1386031706
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.03,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1386031706
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427039254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.09,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1427039254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457695488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 346.06,
                  "npi": [
                    1457695488
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.36,
              "providers": [
                {
                  "billed_charge": 351.07,
                  "npi": [
                    1457695488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457706640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 411.0,
              "providers": [
                {
                  "billed_charge": 411.0,
                  "npi": [
                    1457706640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487484820"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1487484820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528299393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1528299393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538518675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1538518675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538586243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.03,
              "providers": [
                {
                  "billed_charge": 139.42,
                  "npi": [
                    1538586243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558803486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.82,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.03,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1558803486
                  ]
                },
                {
                  "billed_charge": 338.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588750723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1588750723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629462122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.03,
              "providers": [
                {
                  "billed_charge": 253.0,
                  "npi": [
                    1629462122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669660783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1669660783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689738700"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1689738700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699048090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1699048090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700900867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.56,
              "providers": [
                {
                  "billed_charge": 32.56,
                  "npi": [
                    1700900867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710428255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1710428255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710569462"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710569462
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760483382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1760483382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801239389"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1801239389
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "11",
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861745119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.28,
              "providers": [
                {
                  "billed_charge": 88.28,
                  "npi": [
                    1861745119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871614297"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.5,
              "providers": [
                {
                  "billed_charge": 91.5,
                  "npi": [
                    1871614297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881583730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 157.0,
                  "npi": [
                    1881583730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891745212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 157.0,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922977768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.0,
              "providers": [
                {
                  "billed_charge": 177.0,
                  "npi": [
                    1922977768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932300886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.82,
              "providers": [
                {
                  "billed_charge": 101.82,
                  "npi": [
                    1932300886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952870487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1952870487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962748368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1962748368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982198073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.5,
              "providers": [
                {
                  "billed_charge": 91.5,
                  "npi": [
                    1982198073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.23,
              "providers": [
                {
                  "billed_charge": 104.23,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194520106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1194520106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215297122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1215297122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225432800"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.98,
              "providers": [
                {
                  "billed_charge": 94.92,
                  "npi": [
                    1225432800
                  ]
                }
              ]
            },
            {
              "allowed_amount": 161.95,
              "providers": [
                {
                  "billed_charge": 189.84,
                  "npi": [
                    1225432800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235874074"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.08,
              "providers": [
                {
                  "billed_charge": 32.08,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.69,
              "providers": [
                {
                  "billed_charge": 48.69,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245313378"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.55,
              "providers": [
                {
                  "billed_charge": 26.55,
                  "npi": [
                    1245313378
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275177057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.36,
              "providers": [
                {
                  "billed_charge": 22.36,
                  "npi": [
                    1275177057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 107.0,
                  "npi": [
                    1275581852
                  ]
                },
                {
                  "billed_charge": 214.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306331756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.1,
              "providers": [
                {
                  "billed_charge": 19.1,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.65,
              "providers": [
                {
                  "billed_charge": 21.65,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.28,
              "providers": [
                {
                  "billed_charge": 24.28,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.29,
              "providers": [
                {
                  "billed_charge": 24.29,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.07,
              "providers": [
                {
                  "billed_charge": 32.07,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.08,
              "providers": [
                {
                  "billed_charge": 39.08,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.32,
              "providers": [
                {
                  "billed_charge": 43.32,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437410669"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1437410669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487249736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1487249736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518254176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.64,
              "providers": [
                {
                  "billed_charge": 22.64,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538129440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.6,
              "providers": [
                {
                  "billed_charge": 22.6,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.01,
              "providers": [
                {
                  "billed_charge": 24.01,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.25,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.27,
              "providers": [
                {
                  "billed_charge": 41.27,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.05,
              "providers": [
                {
                  "billed_charge": 49.05,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538547070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.25,
              "providers": [
                {
                  "billed_charge": 44.32,
                  "npi": [
                    1538547070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548151954"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.23,
              "providers": [
                {
                  "billed_charge": 17.23,
                  "npi": [
                    1548151954
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699905554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.61,
              "providers": [
                {
                  "billed_charge": 33.61,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.28,
              "providers": [
                {
                  "billed_charge": 34.28,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.29,
              "providers": [
                {
                  "billed_charge": 34.29,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.3,
              "providers": [
                {
                  "billed_charge": 34.3,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760821524"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.75,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1760821524
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811490949"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1811490949
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811773385"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.29,
              "providers": [
                {
                  "billed_charge": 24.29,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.48,
              "providers": [
                {
                  "billed_charge": 64.24,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.57,
              "providers": [
                {
                  "billed_charge": 48.57,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851343909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.84,
              "providers": [
                {
                  "billed_charge": 22.84,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.85,
              "providers": [
                {
                  "billed_charge": 22.85,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.97,
              "providers": [
                {
                  "billed_charge": 76.84,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.69,
              "providers": [
                {
                  "billed_charge": 45.69,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 85.93,
              "providers": [
                {
                  "billed_charge": 153.68,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871738872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.62,
              "providers": [
                {
                  "billed_charge": 39.62,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962669275"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.49,
              "providers": [
                {
                  "billed_charge": 46.49,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982797494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.4,
              "providers": [
                {
                  "billed_charge": 36.4,
                  "npi": [
                    1982797494
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for COVID-19 test (by a provider)",
      "billing_code_type": "CPT",
      "billing_code": "87637",
      "billing_code_type_version": "2026",
      "description": "Lab fee for COVID-19 test (by a provider)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 213.95,
              "providers": [
                {
                  "billed_charge": 213.95,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 263.87,
              "providers": [
                {
                  "billed_charge": 263.87,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 263.87,
              "providers": [
                {
                  "billed_charge": 263.87,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 213.95,
              "providers": [
                {
                  "billed_charge": 213.95,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 263.87,
              "providers": [
                {
                  "billed_charge": 263.87,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 320.92,
              "providers": [
                {
                  "billed_charge": 320.92,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568842813"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 263.87,
              "providers": [
                {
                  "billed_charge": 263.87,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 213.95,
              "providers": [
                {
                  "billed_charge": 213.95,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639135643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 320.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 320.92,
              "providers": [
                {
                  "billed_charge": 320.92,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 3.6,
              "providers": [
                {
                  "billed_charge": 3.6,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.6,
              "providers": [
                {
                  "billed_charge": 33.6,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174602908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1174602908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 83.06,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306825997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1306825997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.48,
              "providers": [
                {
                  "billed_charge": 17.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518042175"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1518042175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.6,
              "providers": [
                {
                  "billed_charge": 33.6,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.48,
              "providers": [
                {
                  "billed_charge": 17.48,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619957933"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1619957933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639135643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720279805"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.2,
                  "npi": [
                    1720279805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "23",
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760660401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.4,
              "providers": [
                {
                  "billed_charge": 10.4,
                  "npi": [
                    1760660401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.31,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 26.81,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.5,
              "providers": [
                {
                  "billed_charge": 51.5,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.48,
              "providers": [
                {
                  "billed_charge": 17.48,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003076894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 388.0,
              "providers": [
                {
                  "billed_charge": 388.0,
                  "npi": [
                    1003076894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003304478"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1003304478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013950807"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 277.0,
                  "npi": [
                    1013950807
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023447935"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1023447935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043282528"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.7,
              "providers": [
                {
                  "billed_charge": 149.7,
                  "npi": [
                    1043282528
                  ]
                }
              ]
            },
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1043282528
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043665169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1043665169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053491753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.32,
              "providers": [
                {
                  "billed_charge": 70.25,
                  "npi": [
                    1053491753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063463768"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 378.0,
                  "npi": [
                    1063463768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063497428"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 330.0,
              "providers": [
                {
                  "billed_charge": 330.0,
                  "npi": [
                    1063497428
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063986461"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1063986461
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114037462"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.32,
              "providers": [
                {
                  "billed_charge": 51.32,
                  "npi": [
                    1114037462
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114113719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.56,
              "providers": [
                {
                  "billed_charge": 94.56,
                  "npi": [
                    1114113719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114238193"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.53,
              "providers": [
                {
                  "billed_charge": 101.53,
                  "npi": [
                    1114238193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144571365"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.92,
              "providers": [
                {
                  "billed_charge": 242.25,
                  "npi": [
                    1144571365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184917924"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 276.0,
                  "npi": [
                    1184917924
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1184917924
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194947499"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.66,
              "providers": [
                {
                  "billed_charge": 46.66,
                  "npi": [
                    1194947499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235616541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.8,
              "providers": [
                {
                  "billed_charge": 202.8,
                  "npi": [
                    1235616541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245624683"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1245624683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245813708"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.25,
              "providers": [
                {
                  "billed_charge": 155.25,
                  "npi": [
                    1245813708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245981836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.88,
              "providers": [
                {
                  "billed_charge": 134.36,
                  "npi": [
                    1245981836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255904637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.72,
              "providers": [
                {
                  "billed_charge": 214.0,
                  "npi": [
                    1255904637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275553463"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 295.0,
                  "npi": [
                    1275553463
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285010520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1285010520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295745560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.44,
              "providers": [
                {
                  "billed_charge": 145.44,
                  "npi": [
                    1295745560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306118039"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.7,
              "providers": [
                {
                  "billed_charge": 276.0,
                  "npi": [
                    1306118039
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306225222"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 295.0,
                  "npi": [
                    1306225222
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316053135"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1316053135
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316940695"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1316940695
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1316940695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326198300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1326198300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326793373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.42,
              "providers": [
                {
                  "billed_charge": 105.42,
                  "npi": [
                    1326793373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1326793373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1326793373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336195643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 252.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1336195643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356341150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.2,
              "providers": [
                {
                  "billed_charge": 259.2,
                  "npi": [
                    1356341150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376703157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 246.04,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1376703157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386268993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1386268993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407168099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407168099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437148996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1437148996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437346442"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 318.75,
              "providers": [
                {
                  "billed_charge": 318.75,
                  "npi": [
                    1437346442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437404274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1437404274
                  ]
                }
              ]
            },
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1437404274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437745015"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1437745015
                  ]
                }
              ]
            },
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1437745015
                  ]
                }
              ]
            },
            {
              "allowed_amount": 109.1,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1437745015
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437946837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 277.0,
              "providers": [
                {
                  "billed_charge": 277.0,
                  "npi": [
                    1437946837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447289343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.42,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1447289343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447518592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1447518592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447751607"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.25,
              "providers": [
                {
                  "billed_charge": 134.25,
                  "npi": [
                    1447751607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487212551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1487212551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487481180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1487481180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497772685"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1497772685
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528691961"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1528691961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538576301"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538576301
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548416068"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1548416068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558438036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.64,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1558438036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558532465"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1558532465
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568032928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1568032928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568460772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.16,
              "providers": [
                {
                  "billed_charge": 133.16,
                  "npi": [
                    1568460772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609824879"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.2,
              "providers": [
                {
                  "billed_charge": 127.2,
                  "npi": [
                    1609824879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639160831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1639160831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639986490"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.62,
              "providers": [
                {
                  "billed_charge": 175.78,
                  "npi": [
                    1639986490
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669186565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1669186565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689052862"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.68,
              "providers": [
                {
                  "billed_charge": 333.6,
                  "npi": [
                    1689052862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689184178"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.5,
              "providers": [
                {
                  "billed_charge": 135.02,
                  "npi": [
                    1689184178
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689354730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.33,
              "providers": [
                {
                  "billed_charge": 98.33,
                  "npi": [
                    1689354730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 132.79,
              "providers": [
                {
                  "billed_charge": 132.79,
                  "npi": [
                    1689354730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.09,
              "providers": [
                {
                  "billed_charge": 146.09,
                  "npi": [
                    1689354730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699874248"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 559.0,
                  "npi": [
                    1699874248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699968057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 242.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1699968057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710959697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1710959697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720058571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 269.08,
              "providers": [
                {
                  "billed_charge": 274.08,
                  "npi": [
                    1720058571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720248347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.2,
              "providers": [
                {
                  "billed_charge": 169.2,
                  "npi": [
                    1720248347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730401571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 219.01,
              "providers": [
                {
                  "billed_charge": 236.5,
                  "npi": [
                    1730401571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780058636"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 572.75,
                  "npi": [
                    1780058636
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780615112"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 252.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1780615112
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790084168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.8,
              "providers": [
                {
                  "billed_charge": 202.8,
                  "npi": [
                    1790084168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801826268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.62,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1801826268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811321391"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.21,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1811321391
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811405277"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1811405277
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821017880"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 347.0,
                  "npi": [
                    1821017880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821732207"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1821732207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831285543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1831285543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841227840"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1841227840
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841334992"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.97,
              "providers": [
                {
                  "billed_charge": 53.97,
                  "npi": [
                    1841334992
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841749454"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1841749454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851712293"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.8,
              "providers": [
                {
                  "billed_charge": 150.8,
                  "npi": [
                    1851712293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861136269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1861136269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861902223"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1861902223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871589192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.62,
              "providers": [
                {
                  "billed_charge": 189.12,
                  "npi": [
                    1871589192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871911347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.6,
              "providers": [
                {
                  "billed_charge": 221.6,
                  "npi": [
                    1871911347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881015477"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1881015477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902855505"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1902855505
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912258989"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1912258989
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922329762"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.3,
              "providers": [
                {
                  "billed_charge": 129.6,
                  "npi": [
                    1922329762
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942088943"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.04,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1942088943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942505102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1942505102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972266732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.4,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972266732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992868228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.07,
              "providers": [
                {
                  "billed_charge": 40.07,
                  "npi": [
                    1992868228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urgent care center visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Urgent care center visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003204769"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1003204769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033554910"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.4,
              "providers": [
                {
                  "billed_charge": 119.4,
                  "npi": [
                    1033554910
                  ]
                }
              ]
            },
            {
              "allowed_amount": 193.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1033554910
                  ]
                }
              ]
            },
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1033554910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "10",
            "02",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073603999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1073603999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 289.0,
              "providers": [
                {
                  "billed_charge": 289.0,
                  "npi": [
                    1073603999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093100570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.47,
              "providers": [
                {
                  "billed_charge": 141.47,
                  "npi": [
                    1093100570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093197261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 334.0,
              "providers": [
                {
                  "billed_charge": 334.0,
                  "npi": [
                    1093197261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134307978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1134307978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154506483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1154506483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164596961"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1164596961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174866297"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1174866297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194495150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.35,
              "providers": [
                {
                  "billed_charge": 67.35,
                  "npi": [
                    1194495150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194701409"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1194701409
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215129721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1215129721
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.93,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265148522"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.0,
              "providers": [
                {
                  "billed_charge": 92.0,
                  "npi": [
                    1265148522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265436927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1265436927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265758403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1265758403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316588544"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1316588544
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326346941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1326346941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346952157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1346952157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366440224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1366440224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366828048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1366828048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386192987"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1386192987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "22",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.2,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417454257"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.2,
              "providers": [
                {
                  "billed_charge": 52.2,
                  "npi": [
                    1417454257
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.09,
              "providers": [
                {
                  "billed_charge": 10.09,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.26,
              "providers": [
                {
                  "billed_charge": 67.26,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518319607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1518319607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538145925"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1538145925
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538688767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1538688767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548637986"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.6,
              "providers": [
                {
                  "billed_charge": 81.6,
                  "npi": [
                    1548637986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558526996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1558526996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588040505"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1588040505
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588390942"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.8,
              "providers": [
                {
                  "billed_charge": 106.8,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 249.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588605711"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.69,
              "providers": [
                {
                  "billed_charge": 139.69,
                  "npi": [
                    1588605711
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            },
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609889401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.55,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1609889401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619474491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.4,
              "providers": [
                {
                  "billed_charge": 88.4,
                  "npi": [
                    1619474491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629398896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1629398896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649921834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1649921834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679579320"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.66,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1679579320
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679901649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.0,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710208269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710463245"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.8,
              "providers": [
                {
                  "billed_charge": 141.8,
                  "npi": [
                    1710463245
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720346133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1720346133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770882250"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1770882250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801009543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1801009543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801983739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1801983739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811178254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.69,
              "providers": [
                {
                  "billed_charge": 168.86,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811576382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 266.38,
              "providers": [
                {
                  "billed_charge": 266.38,
                  "npi": [
                    1811576382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811932643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1811932643
                  ]
                }
              ]
            },
            {
              "allowed_amount": 131.56,
              "providers": [
                {
                  "billed_charge": 131.56,
                  "npi": [
                    1811932643
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1811932643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851707012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1851707012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861520173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1861520173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881648210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1881648210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902083835"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1902083835
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.65,
              "providers": [
                {
                  "billed_charge": 154.65,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.74,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952304131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1952304131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962419978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.12,
              "providers": [
                {
                  "billed_charge": 131.95,
                  "npi": [
                    1962578393
                  ]
                },
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982065181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1982065181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982640017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1982640017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mammogram",
      "billing_code_type": "CPT",
      "billing_code": "77067",
      "billing_code_type_version": "2026",
      "description": "Mammogram",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.4,
              "providers": [
                {
                  "billed_charge": 278.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.4,
              "providers": [
                {
                  "billed_charge": 278.4,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346423480"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1346423480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.4,
              "providers": [
                {
                  "billed_charge": 278.4,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.38,
              "providers": [
                {
                  "billed_charge": 187.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.38,
              "providers": [
                {
                  "billed_charge": 187.38,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710205844"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.99,
              "providers": [
                {
                  "billed_charge": 42.99,
                  "npi": [
                    1710205844
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.77,
              "providers": [
                {
                  "billed_charge": 128.77,
                  "npi": [
                    1710205844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.69,
              "providers": [
                {
                  "billed_charge": 51.69,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.47,
              "providers": [
                {
                  "billed_charge": 187.47,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98940",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114193653"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1114193653
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154669075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.24,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1154669075
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1154669075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184331506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215350541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1215350541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275715211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.11,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1275715211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306583737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1306583737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437333960"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.11,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1437333960
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528127628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1528127628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629258959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669795282"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1669795282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679861728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1679861728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710275862"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.11,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1710275862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760770812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1760770812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831110048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1831110048
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1831110048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831454545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.11,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1831454545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881393833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.34,
              "providers": [
                {
                  "billed_charge": 30.34,
                  "npi": [
                    1881393833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1881393833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932119559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.11,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1932119559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932151909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1932151909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942434451"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1942434451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982784914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.11,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1982784914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992885941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.11,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1992885941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992975536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1992975536
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033845276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1033845276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.96,
              "providers": [
                {
                  "billed_charge": 183.96,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073040564"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1073040564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073054219"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1073054219
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104333186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1104333186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154047306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1154047306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1154047306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174788723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1174788723
                  ]
                }
              ]
            },
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1174788723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174927354"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1174927354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184241036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1184241036
                  ]
                }
              ]
            },
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1184241036
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1184241036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215492913"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1215492913
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215770151"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1215770151
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245437920"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1245437920
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275353278"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1275353278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275671216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1275671216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285283069"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1285283069
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306040969"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306040969
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336285576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1336285576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336538545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336538545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356160394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1356160394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376325571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1376325571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396490165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396490165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396518635"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 305.0,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1396518635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437626587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1437626587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447793310"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1447793310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457910788"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1457910788
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467035097"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1467035097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467855569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1467855569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487996047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1487996047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497378319"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1497378319
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1497378319
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538156617"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538156617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558837294"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1558837294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578750873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1578750873
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1578750873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619620937"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1619620937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679323547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1679323547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699452813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1699452813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700444593"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1700444593
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710539580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1710539580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750782579"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1750782579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760171896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.58,
              "providers": [
                {
                  "billed_charge": 108.58,
                  "npi": [
                    1760171896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770082596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1770082596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801945233"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1801945233
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821955964"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1821955964
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831554872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 154.35,
                  "npi": [
                    1831554872
                  ]
                },
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831695469"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1831695469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851986780"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1851986780
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1851986780
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1851986780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861113656"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1861113656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881268654"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1881268654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962803478"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1962803478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "billing_code_type": "CPT",
      "billing_code": "82306",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 102.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.8,
              "providers": [
                {
                  "billed_charge": 40.8,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.8,
              "providers": [
                {
                  "billed_charge": 64.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.74,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.74,
              "providers": [
                {
                  "billed_charge": 41.74,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.6,
              "providers": [
                {
                  "billed_charge": 66.6,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437222312"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.7,
              "providers": [
                {
                  "billed_charge": 44.5,
                  "npi": [
                    1437222312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.6,
              "providers": [
                {
                  "billed_charge": 66.6,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.74,
              "providers": [
                {
                  "billed_charge": 189.4,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.74,
              "providers": [
                {
                  "billed_charge": 102.15,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1013915255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023071867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1023071867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033886361"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1033886361
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063089571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1063089571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063904076"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.3,
              "providers": [
                {
                  "billed_charge": 13.3,
                  "npi": [
                    1063904076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.0,
              "providers": [
                {
                  "billed_charge": 3.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124055942"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.8,
              "providers": [
                {
                  "billed_charge": 7.8,
                  "npi": [
                    1124055942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.78,
              "providers": [
                {
                  "billed_charge": 7.78,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124073879"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124073879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164471116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194781302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.55,
              "providers": [
                {
                  "billed_charge": 1.55,
                  "npi": [
                    1194781302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.7,
              "providers": [
                {
                  "billed_charge": 1.7,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205828811"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1205828811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.68,
              "providers": [
                {
                  "billed_charge": 11.68,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235359209"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.6,
                  "npi": [
                    1235359209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235576695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1235576695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235678756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1235678756
                  ]
                },
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1235678756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255380127"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.5,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.5,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265486278"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1265486278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265603633"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.38,
                  "npi": [
                    1265603633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275561185"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1275561185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285684225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.25,
              "providers": [
                {
                  "billed_charge": 26.25,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316328214"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1316328214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366443368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.74,
              "providers": [
                {
                  "billed_charge": 4.74,
                  "npi": [
                    1366443368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366483257"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1366483257
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376504084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.95,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1376504084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.55,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407927809"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407927809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407971856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1407971856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427512573"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 49.0,
                  "npi": [
                    1427512573
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437359429"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1437359429
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447075403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.38,
              "providers": [
                {
                  "billed_charge": 11.38,
                  "npi": [
                    1447075403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259627"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447259627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447296272"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1447296272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447554084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1447554084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457671398"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1457671398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.64,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467427674"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467451922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1467451922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477865681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.1,
              "providers": [
                {
                  "billed_charge": 166.5,
                  "npi": [
                    1477865681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508074154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.52,
              "providers": [
                {
                  "billed_charge": 9.52,
                  "npi": [
                    1508074154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538509278"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.73,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1538509278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548481542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 18.63,
                  "npi": [
                    1548481542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578330452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.98,
              "providers": [
                {
                  "billed_charge": 114.2,
                  "npi": [
                    1578330452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588868947"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.34,
              "providers": [
                {
                  "billed_charge": 1.34,
                  "npi": [
                    1588868947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.49,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649385436"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1649385436
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659472306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 21.42,
                  "npi": [
                    1659472306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669570990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.25,
                  "npi": [
                    1669570990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699797878"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1699797878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699927947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.73,
              "providers": [
                {
                  "billed_charge": 6.73,
                  "npi": [
                    1699927947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700994977"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1700994977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.9,
              "providers": [
                {
                  "billed_charge": 6.9,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.91,
              "providers": [
                {
                  "billed_charge": 7.91,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750686382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1750686382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750840062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.57,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760471585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.5,
              "providers": [
                {
                  "billed_charge": 4.5,
                  "npi": [
                    1760471585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.22,
              "providers": [
                {
                  "billed_charge": 38.22,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790888089"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1790888089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811345390"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1811345390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811944457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1811944457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821301979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1821301979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851343909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851418404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1851418404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881460236"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1881460236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922064336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1922064336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942200175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.03,
                  "npi": [
                    1942200175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942208616"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.05,
              "providers": [
                {
                  "billed_charge": 22.05,
                  "npi": [
                    1942208616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.4,
              "providers": [
                {
                  "billed_charge": 13.4,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982607701"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.85,
                  "npi": [
                    1982607701
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013052174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.39,
              "providers": [
                {
                  "billed_charge": 32.39,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.62,
              "providers": [
                {
                  "billed_charge": 34.62,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033458484"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1033458484
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1033458484
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104368026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1104368026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.0,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1104368026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114731726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1114731726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1114731726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174711105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1174711105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174948491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1174948491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184331506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.52,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194718585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.45,
              "providers": [
                {
                  "billed_charge": 25.45,
                  "npi": [
                    1194718585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255684684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1255684684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275715211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1275715211
                  ]
                },
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1275715211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326540105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1326540105
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.78,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1326540105
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1326540105
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1326540105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386601169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1386601169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427425537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1427425537
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1427425537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427839901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1427839901
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 49.0,
                  "npi": [
                    1427839901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477910776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1477910776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528052693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1528052693
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548479967"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.96,
              "providers": [
                {
                  "billed_charge": 24.96,
                  "npi": [
                    1548479967
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.45,
              "providers": [
                {
                  "billed_charge": 25.45,
                  "npi": [
                    1548479967
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1548479967
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558448670"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1558448670
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 107.0,
                  "npi": [
                    1558448670
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.0,
              "providers": [
                {
                  "billed_charge": 107.0,
                  "npi": [
                    1558448670
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558568907"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1558568907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568089779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1568089779
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1568089779
                  ]
                }
              ]
            },
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1568089779
                  ]
                }
              ]
            },
            {
              "allowed_amount": 71.0,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1568089779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629258959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.33,
              "providers": [
                {
                  "billed_charge": 26.33,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.34,
              "providers": [
                {
                  "billed_charge": 26.34,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.59,
              "providers": [
                {
                  "billed_charge": 28.59,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.26,
              "providers": [
                {
                  "billed_charge": 30.26,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710208269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710275862"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1710275862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750883260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1750883260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790596260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1790596260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831609312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1831609312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841714722"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1841714722
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881393833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1881393833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1881393833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.5,
              "providers": [
                {
                  "billed_charge": 66.5,
                  "npi": [
                    1881393833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952182545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.25,
              "providers": [
                {
                  "billed_charge": 12.25,
                  "npi": [
                    1952182545
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 49.0,
                  "npi": [
                    1952182545
                  ]
                },
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1952182545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962452771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1962452771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962755082"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.12,
              "providers": [
                {
                  "billed_charge": 23.12,
                  "npi": [
                    1962755082
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.75,
              "providers": [
                {
                  "billed_charge": 24.75,
                  "npi": [
                    1962755082
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992975536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1992975536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003010349"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1003010349
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023004231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1023004231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033291380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1033291380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043269871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 237.0,
                  "npi": [
                    1043269871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083839930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 261.96,
              "providers": [
                {
                  "billed_charge": 273.96,
                  "npi": [
                    1083839930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083942064"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1083942064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114925153"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1114925153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124500335"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.54,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1124500335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144835182"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 348.75,
              "providers": [
                {
                  "billed_charge": 348.75,
                  "npi": [
                    1144835182
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376904557"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.74,
              "providers": [
                {
                  "billed_charge": 148.24,
                  "npi": [
                    1376904557
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407893100"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1407893100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609549518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.4,
              "providers": [
                {
                  "billed_charge": 156.4,
                  "npi": [
                    1609549518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629025820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 273.96,
                  "npi": [
                    1629025820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649362112"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.04,
              "providers": [
                {
                  "billed_charge": 137.04,
                  "npi": [
                    1649362112
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699874180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1699874180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710730833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.4,
              "providers": [
                {
                  "billed_charge": 236.4,
                  "npi": [
                    1710730833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780478016"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.35,
              "providers": [
                {
                  "billed_charge": 141.35,
                  "npi": [
                    1780478016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831303064"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.8,
              "providers": [
                {
                  "billed_charge": 181.8,
                  "npi": [
                    1831303064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831477272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1831477272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912953290"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 568.0,
                  "npi": [
                    1912953290
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932127255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.6,
              "providers": [
                {
                  "billed_charge": 107.6,
                  "npi": [
                    1932127255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932631645"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.5,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1932631645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952716508"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.0,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1952716508
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013060359"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.0,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1013060359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063663433"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.81,
              "providers": [
                {
                  "billed_charge": 128.31,
                  "npi": [
                    1063663433
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.72,
              "providers": [
                {
                  "billed_charge": 127.72,
                  "npi": [
                    1063663433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215063631"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.83,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1215063631
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235588823"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1235588823
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235659483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 520.0,
              "providers": [
                {
                  "billed_charge": 520.0,
                  "npi": [
                    1235659483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275636920"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1275636920
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285670646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.0,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1285670646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366248908"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1366248908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.5,
              "providers": [
                {
                  "billed_charge": 109.5,
                  "npi": [
                    1457346090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699665851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.5,
              "providers": [
                {
                  "billed_charge": 109.5,
                  "npi": [
                    1699665851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710558754"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1710558754
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780384610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1780384610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811101579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811101579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811221153"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 211.0,
                  "npi": [
                    1811221153
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1811221153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831862085"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1831862085
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912634775"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.25,
              "providers": [
                {
                  "billed_charge": 73.25,
                  "npi": [
                    1912634775
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Cardiologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Cardiologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023556206"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.42,
              "providers": [
                {
                  "billed_charge": 200.42,
                  "npi": [
                    1023556206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043293038"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1043293038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043858475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.55,
              "providers": [
                {
                  "billed_charge": 93.55,
                  "npi": [
                    1043858475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.43,
              "providers": [
                {
                  "billed_charge": 125.43,
                  "npi": [
                    1043858475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104016633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1104016633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114093598"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.25,
              "providers": [
                {
                  "billed_charge": 140.25,
                  "npi": [
                    1114093598
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134109747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.43,
              "providers": [
                {
                  "billed_charge": 196.43,
                  "npi": [
                    1134109747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194099390"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 437.0,
                  "npi": [
                    1194099390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215904354"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1215904354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225816721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.11,
              "providers": [
                {
                  "billed_charge": 276.37,
                  "npi": [
                    1225816721
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275749699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.83,
              "providers": [
                {
                  "billed_charge": 226.0,
                  "npi": [
                    1275749699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316314305"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1316314305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326005851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 226.0,
                  "npi": [
                    1326005851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326552118"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1326552118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407869407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.2,
              "providers": [
                {
                  "billed_charge": 131.2,
                  "npi": [
                    1407869407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447390430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.36,
              "providers": [
                {
                  "billed_charge": 136.36,
                  "npi": [
                    1447390430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467499038"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1467499038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467985085"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1467985085
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497760292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1497760292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558475400"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 213.56,
              "providers": [
                {
                  "billed_charge": 217.0,
                  "npi": [
                    1558475400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588944334"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.36,
              "providers": [
                {
                  "billed_charge": 94.36,
                  "npi": [
                    1588944334
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629334487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 515.0,
              "providers": [
                {
                  "billed_charge": 515.0,
                  "npi": [
                    1629334487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174840"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1639174840
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730441841"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.43,
              "providers": [
                {
                  "billed_charge": 196.43,
                  "npi": [
                    1730441841
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730687161"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 391.0,
                  "npi": [
                    1730687161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780076943"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1780076943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801183033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 463.5,
              "providers": [
                {
                  "billed_charge": 463.5,
                  "npi": [
                    1801183033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821268962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1821268962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841407665"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 182.0,
              "providers": [
                {
                  "billed_charge": 185.03,
                  "npi": [
                    1841407665
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861579021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1861579021
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003856089"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1003856089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003884669"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1003884669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013355106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.79,
              "providers": [
                {
                  "billed_charge": 180.82,
                  "npi": [
                    1013355106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033128772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1033128772
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1033128772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033157821"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.54,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1033157821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033557160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1033557160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033824941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1033824941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043228984"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1043228984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043298474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1043298474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043547367"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.77,
              "providers": [
                {
                  "billed_charge": 90.77,
                  "npi": [
                    1043547367
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043615263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 277.23,
                  "npi": [
                    1043615263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043862923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1043862923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053049064"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.01,
              "providers": [
                {
                  "billed_charge": 126.01,
                  "npi": [
                    1053049064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053330803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1053330803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053565580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1053565580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053740092"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1053740092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063406684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.15,
              "providers": [
                {
                  "billed_charge": 39.15,
                  "npi": [
                    1063406684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073202727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1073202727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073748562"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1073748562
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083249114"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 209.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1083249114
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083676084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1083676084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093017667"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.28,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1093017667
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114025137"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1114025137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355617"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.54,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1114355617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.89,
              "providers": [
                {
                  "billed_charge": 102.99,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124532817"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1124532817
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134288368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.9,
              "providers": [
                {
                  "billed_charge": 122.0,
                  "npi": [
                    1134288368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134485550"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 176.06,
                  "npi": [
                    1134485550
                  ]
                },
                {
                  "billed_charge": 176.09,
                  "npi": [
                    1134485550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134531445"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.3,
              "providers": [
                {
                  "billed_charge": 118.3,
                  "npi": [
                    1134531445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134622905"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1134622905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144331760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1144331760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144337023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1144337023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144644493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.24,
              "providers": [
                {
                  "billed_charge": 156.24,
                  "npi": [
                    1144644493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154291235"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1154291235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154302180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1154302180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174060677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.01,
              "providers": [
                {
                  "billed_charge": 181.18,
                  "npi": [
                    1174060677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174912539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1174912539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174982540"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1174982540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184029969"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1184029969
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184111338"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1184111338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184176620"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1184176620
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184341638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1184341638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184679482"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1184679482
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205095965"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.25,
              "providers": [
                {
                  "billed_charge": 101.25,
                  "npi": [
                    1205095965
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205250487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1205250487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205403151"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1205403151
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205855988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.0,
              "providers": [
                {
                  "billed_charge": 122.0,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215934898"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1215934898
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225038326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1225038326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235170283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1235170283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 287.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235339227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 387.8,
                  "npi": [
                    1235339227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235632449"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.07,
              "providers": [
                {
                  "billed_charge": 140.07,
                  "npi": [
                    1235632449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235995796"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1235995796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245617208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1245617208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255314985"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1255314985
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255380127"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255475745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.59,
              "providers": [
                {
                  "billed_charge": 78.59,
                  "npi": [
                    1255475745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265540793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1265540793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275350381"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.46,
              "providers": [
                {
                  "billed_charge": 146.46,
                  "npi": [
                    1275350381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275750127"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1275750127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285271528"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.63,
              "providers": [
                {
                  "billed_charge": 52.63,
                  "npi": [
                    1285271528
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285356279"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 192.66,
                  "npi": [
                    1285356279
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285806190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.15,
              "providers": [
                {
                  "billed_charge": 204.75,
                  "npi": [
                    1285806190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295084374"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1295084374
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295212033"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1295212033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295907756"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1295907756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306026307"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306026307
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316936990"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 302.19,
                  "npi": [
                    1316936990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316972599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 183.35,
                  "npi": [
                    1316972599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326233388"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1326233388
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336333806"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.97,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336333806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346264702"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1346264702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346283033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1346283033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356865737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1356865737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356866081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1356866081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366503393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.46,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1366503393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366515488"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 177.0,
                  "npi": [
                    1366515488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376624940"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1376624940
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386098283"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1386098283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386172229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1386172229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386697928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.07,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1386697928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396218079"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1396218079
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396277968"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.46,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396277968
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396791679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1396791679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407431174"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407431174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407927809"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1407927809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417007212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1417007212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417077884"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1417077884
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417316159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1417316159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417400235"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 330.0,
              "providers": [
                {
                  "billed_charge": 330.0,
                  "npi": [
                    1417400235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417923780"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.6,
              "providers": [
                {
                  "billed_charge": 111.6,
                  "npi": [
                    1417923780
                  ]
                }
              ]
            },
            {
              "allowed_amount": 123.0,
              "providers": [
                {
                  "billed_charge": 123.0,
                  "npi": [
                    1417923780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417967365"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.4,
              "providers": [
                {
                  "billed_charge": 134.4,
                  "npi": [
                    1417967365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            },
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427061589"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1427061589
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427642552"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1427642552
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437250248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1437250248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1437250248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437298957"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1437298957
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467003871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.51,
              "providers": [
                {
                  "billed_charge": 46.51,
                  "npi": [
                    1467003871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467451922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.5,
              "providers": [
                {
                  "billed_charge": 91.5,
                  "npi": [
                    1467451922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467738559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1467738559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477062891"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1477062891
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.52,
              "providers": [
                {
                  "billed_charge": 107.52,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497270680"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.98,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1497270680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518254176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518420702"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1518420702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518969799"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.72,
              "providers": [
                {
                  "billed_charge": 125.72,
                  "npi": [
                    1518969799
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528046331"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1528046331
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528085206"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.37,
              "providers": [
                {
                  "billed_charge": 138.62,
                  "npi": [
                    1528085206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528183621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1528183621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528198223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.57,
              "providers": [
                {
                  "billed_charge": 163.0,
                  "npi": [
                    1528198223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538153887"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538153887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538208210"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.5,
              "providers": [
                {
                  "billed_charge": 87.5,
                  "npi": [
                    1538208210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538634282"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1538634282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 775.5,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548351794"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.32,
              "providers": [
                {
                  "billed_charge": 50.32,
                  "npi": [
                    1548351794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548458672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1548458672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548923998"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1548923998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558788042"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.69,
              "providers": [
                {
                  "billed_charge": 272.69,
                  "npi": [
                    1558788042
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568457950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.19,
              "providers": [
                {
                  "billed_charge": 78.19,
                  "npi": [
                    1568457950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568810745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.0,
              "providers": [
                {
                  "billed_charge": 132.0,
                  "npi": [
                    1568810745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578839726"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.46,
              "providers": [
                {
                  "billed_charge": 137.5,
                  "npi": [
                    1578839726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588156574"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1588156574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588227714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 257.55,
              "providers": [
                {
                  "billed_charge": 283.55,
                  "npi": [
                    1588227714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588654016"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.48,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1588654016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588929764"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.88,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1588929764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598185993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.11,
              "providers": [
                {
                  "billed_charge": 112.11,
                  "npi": [
                    1598185993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619069986"
          },
          "service_code": [
            "07"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1619069986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619555190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.4,
              "providers": [
                {
                  "billed_charge": 70.4,
                  "npi": [
                    1619555190
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.52,
              "providers": [
                {
                  "billed_charge": 107.52,
                  "npi": [
                    1619555190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619636271"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1619636271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619908787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1619908787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619922960"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 277.0,
              "providers": [
                {
                  "billed_charge": 335.0,
                  "npi": [
                    1619922960
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629156682"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1629156682
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649237587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.61,
              "providers": [
                {
                  "billed_charge": 104.61,
                  "npi": [
                    1649237587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649259656"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.9,
              "providers": [
                {
                  "billed_charge": 53.9,
                  "npi": [
                    1649259656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659354603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1659354603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659416303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.46,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1659416303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659898021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1659898021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679502959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.25,
              "providers": [
                {
                  "billed_charge": 71.25,
                  "npi": [
                    1679502959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679575047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.63,
              "providers": [
                {
                  "billed_charge": 128.63,
                  "npi": [
                    1679575047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679789077"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.54,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1679789077
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689063554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1689063554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699630681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1699630681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700049699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.53,
              "providers": [
                {
                  "billed_charge": 193.02,
                  "npi": [
                    1700049699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710037080"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1710037080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710340443"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 330.0,
              "providers": [
                {
                  "billed_charge": 330.0,
                  "npi": [
                    1710340443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720189285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1720189285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720315393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1720315393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720380009"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1720380009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720579188"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.27,
              "providers": [
                {
                  "billed_charge": 149.27,
                  "npi": [
                    1720579188
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720580053"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1720580053
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730244872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 145.07,
                  "npi": [
                    1730244872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730334475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1730334475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740239938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1740239938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740244276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740244276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740411990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.0,
              "providers": [
                {
                  "billed_charge": 82.0,
                  "npi": [
                    1740411990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740800705"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740800705
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750715546"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.41,
              "providers": [
                {
                  "billed_charge": 92.41,
                  "npi": [
                    1750715546
                  ]
                }
              ]
            },
            {
              "allowed_amount": 271.61,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1750715546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760798540"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1760798540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770543399"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1770543399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770697104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.15,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1770697104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770801144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.07,
              "providers": [
                {
                  "billed_charge": 145.07,
                  "npi": [
                    1770801144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790025906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.05,
              "providers": [
                {
                  "billed_charge": 36.05,
                  "npi": [
                    1790025906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801280664"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.29,
              "providers": [
                {
                  "billed_charge": 133.64,
                  "npi": [
                    1801280664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811050933"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1811050933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811195829"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.52,
              "providers": [
                {
                  "billed_charge": 107.52,
                  "npi": [
                    1811195829
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811224371"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 330.0,
                  "npi": [
                    1811224371
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811912611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1811912611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811944101"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1811944101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811959190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1811959190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811967300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1811967300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821000688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 264.0,
                  "npi": [
                    1821000688
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1821000688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821044173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1821044173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821080136"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1821080136
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1821080136
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821103987"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1821103987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821483132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1821483132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821699976"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1821699976
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821858466"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.12,
              "providers": [
                {
                  "billed_charge": 108.8,
                  "npi": [
                    1821858466
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841230182"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.4,
              "providers": [
                {
                  "billed_charge": 70.4,
                  "npi": [
                    1841230182
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841396231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.8,
              "providers": [
                {
                  "billed_charge": 118.8,
                  "npi": [
                    1841396231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851092092"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1851092092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851370019"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1851370019
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851421531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1851421531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851437719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.44,
              "providers": [
                {
                  "billed_charge": 114.44,
                  "npi": [
                    1851437719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851788608"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1851788608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861401739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1861401739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861586430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1861586430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871593525"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1871593525
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871740001"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1871740001
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891138640"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1891138640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891220638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.51,
              "providers": [
                {
                  "billed_charge": 129.51,
                  "npi": [
                    1891220638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891922662"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.68,
              "providers": [
                {
                  "billed_charge": 188.68,
                  "npi": [
                    1891922662
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902671605"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1902671605
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902877038"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1902877038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902893928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1902893928
                  ]
                }
              ]
            },
            {
              "allowed_amount": 257.07,
              "providers": [
                {
                  "billed_charge": 265.07,
                  "npi": [
                    1902893928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912224577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1912224577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912393455"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1912393455
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1912393455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922046424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1922046424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922261106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.55,
              "providers": [
                {
                  "billed_charge": 95.55,
                  "npi": [
                    1922261106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922289412"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1922289412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922580133"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1922580133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932252244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.66,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1932252244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952523342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1952523342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962454397"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1962454397
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.43,
              "providers": [
                {
                  "billed_charge": 117.43,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 337.32,
              "providers": [
                {
                  "billed_charge": 337.32,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 339.93,
              "providers": [
                {
                  "billed_charge": 339.93,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 671.44,
              "providers": [
                {
                  "billed_charge": 671.44,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 675.02,
              "providers": [
                {
                  "billed_charge": 675.02,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 677.11,
              "providers": [
                {
                  "billed_charge": 677.11,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962677740"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1962677740
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972892388"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.57,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1972892388
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982699310"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1982699310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982712915"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1982712915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982773065"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982773065
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982829172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.92,
              "providers": [
                {
                  "billed_charge": 114.92,
                  "npi": [
                    1982829172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992297816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1992297816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1992297816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98940",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043373962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1043373962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043669542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1043669542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134231269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1134231269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144958703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1144958703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639799299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1639799299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700069770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1700069770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801157086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1801157086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881738821"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1881738821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932119559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1932119559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure iron binding capacity",
      "billing_code_type": "CPT",
      "billing_code": "83550",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure iron binding capacity",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.2,
              "providers": [
                {
                  "billed_charge": 3.2,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.74,
              "providers": [
                {
                  "billed_charge": 8.74,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.32,
              "providers": [
                {
                  "billed_charge": 171.94,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.67,
              "providers": [
                {
                  "billed_charge": 19.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.32,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.32,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.32,
              "providers": [
                {
                  "billed_charge": 47.94,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.74,
              "providers": [
                {
                  "billed_charge": 8.74,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.52,
              "providers": [
                {
                  "billed_charge": 94.52,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 94.52,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            },
            {
              "allowed_amount": 94.52,
              "providers": [
                {
                  "billed_charge": 94.52,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174820971"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.5,
              "providers": [
                {
                  "billed_charge": 3.5,
                  "npi": [
                    1174820971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.09,
              "providers": [
                {
                  "billed_charge": 43.09,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386698918"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1386698918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 48.13,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457379448
                  ]
                },
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467675629"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 60.2,
                  "npi": [
                    1467675629
                  ]
                },
                {
                  "billed_charge": 105.91,
                  "npi": [
                    1467675629
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.09,
              "providers": [
                {
                  "billed_charge": 43.09,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699819003"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.7,
              "providers": [
                {
                  "billed_charge": 17.7,
                  "npi": [
                    1699819003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750317228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942224696"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942224696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Injection of drug",
      "billing_code_type": "CPT",
      "billing_code": "96372",
      "billing_code_type_version": "2026",
      "description": "Injection of drug",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053740092"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.95,
              "providers": [
                {
                  "billed_charge": 48.15,
                  "npi": [
                    1053740092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.95,
              "providers": [
                {
                  "billed_charge": 29.71,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.45,
              "providers": [
                {
                  "billed_charge": 29.71,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.71,
              "providers": [
                {
                  "billed_charge": 29.71,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174982540"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1174982540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205832227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.79,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1205832227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295907756"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295907756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.71,
              "providers": [
                {
                  "billed_charge": 34.71,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518695915"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.01,
              "providers": [
                {
                  "billed_charge": 90.01,
                  "npi": [
                    1518695915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619908787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.95,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1619908787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679802128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1679802128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750715546"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.8,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1750715546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811224371"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1811224371
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922289412"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1922289412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922580133"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.27,
              "providers": [
                {
                  "billed_charge": 38.27,
                  "npi": [
                    1922580133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922684364"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1922684364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932637725"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.01,
              "providers": [
                {
                  "billed_charge": 17.01,
                  "npi": [
                    1932637725
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023904760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.4,
              "providers": [
                {
                  "billed_charge": 75.4,
                  "npi": [
                    1023904760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114597564"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1114597564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255068946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.04,
              "providers": [
                {
                  "billed_charge": 41.04,
                  "npi": [
                    1255068946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265381495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.52,
              "providers": [
                {
                  "billed_charge": 44.52,
                  "npi": [
                    1265381495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659810943"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.23,
              "providers": [
                {
                  "billed_charge": 28.23,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.24,
              "providers": [
                {
                  "billed_charge": 28.24,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.55,
              "providers": [
                {
                  "billed_charge": 38.55,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790203420"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.25,
              "providers": [
                {
                  "billed_charge": 57.09,
                  "npi": [
                    1790203420
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902488836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.86,
              "providers": [
                {
                  "billed_charge": 41.86,
                  "npi": [
                    1902488836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912055476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.25,
              "providers": [
                {
                  "billed_charge": 90.25,
                  "npi": [
                    1912055476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952768236"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1952768236
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 54.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 37.8,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.1,
              "providers": [
                {
                  "billed_charge": 134.1,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164492195"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 117.19,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225110497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 53.56,
                  "npi": [
                    1225110497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548296106"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1548296106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720159338"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1720159338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.0,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831600295"
          },
          "service_code": [
            "19",
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 78.0,
                  "npi": [
                    1831600295
                  ]
                },
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.73,
              "providers": [
                {
                  "billed_charge": 78.0,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 189.81,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 36.82,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.82,
              "providers": [
                {
                  "billed_charge": 36.82,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 78.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 54.6,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164492195"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 83.4,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.62,
              "providers": [
                {
                  "billed_charge": 12.62,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205644614"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 82.0,
                  "npi": [
                    1205644614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215712096"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.85,
              "providers": [
                {
                  "billed_charge": 21.85,
                  "npi": [
                    1215712096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295047348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.26,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1295047348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.55,
              "providers": [
                {
                  "billed_charge": 17.55,
                  "npi": [
                    1407844970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427679067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487409090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 25.6,
                  "npi": [
                    1487409090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518104280"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.61,
              "providers": [
                {
                  "billed_charge": 3.61,
                  "npi": [
                    1518104280
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548296106"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1548296106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.55,
                  "npi": [
                    1578545273
                  ]
                },
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.08,
              "providers": [
                {
                  "billed_charge": 17.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649892225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1649892225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831600295"
          },
          "service_code": [
            "19",
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.32,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 26.7,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.7,
              "providers": [
                {
                  "billed_charge": 26.7,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972971265"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1972971265
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for blood test checking for bacteria antibody",
      "billing_code_type": "CPT",
      "billing_code": "86780",
      "billing_code_type_version": "2026",
      "description": "Lab fee for blood test checking for bacteria antibody",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.79,
              "providers": [
                {
                  "billed_charge": 29.79,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 59.58,
              "providers": [
                {
                  "billed_charge": 59.58,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.79,
              "providers": [
                {
                  "billed_charge": 29.79,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.01,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073690509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.01,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386281269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.37,
              "providers": [
                {
                  "billed_charge": 19.37,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.8,
              "providers": [
                {
                  "billed_charge": 19.8,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.85,
              "providers": [
                {
                  "billed_charge": 19.85,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.31,
              "providers": [
                {
                  "billed_charge": 27.31,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.21,
              "providers": [
                {
                  "billed_charge": 33.21,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.18,
              "providers": [
                {
                  "billed_charge": 57.18,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99212",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053260463"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1053260463
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134539000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1134539000
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134787625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174912539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1174912539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235147539"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1235147539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235236787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1235236787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245471556"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1245471556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316183197"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1316183197
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346351582"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1346351582
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386172229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1386172229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407356561"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.34,
              "providers": [
                {
                  "billed_charge": 85.34,
                  "npi": [
                    1407356561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497791560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.7,
              "providers": [
                {
                  "billed_charge": 32.7,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.38,
              "providers": [
                {
                  "billed_charge": 40.38,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548038896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1548038896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558659854"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.94,
              "providers": [
                {
                  "billed_charge": 190.94,
                  "npi": [
                    1558659854
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669894622"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1669894622
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861496564"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1861496564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902614332"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1902614332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922684364"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1922684364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932168317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1932168317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932637725"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 74.99,
              "providers": [
                {
                  "billed_charge": 74.99,
                  "npi": [
                    1932637725
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952587297"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.0,
              "providers": [
                {
                  "billed_charge": 56.0,
                  "npi": [
                    1952587297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992003479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1992003479
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003001538"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1003001538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043042054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.63,
              "providers": [
                {
                  "billed_charge": 204.85,
                  "npi": [
                    1043042054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104914274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.63,
              "providers": [
                {
                  "billed_charge": 204.85,
                  "npi": [
                    1104914274
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.3,
              "providers": [
                {
                  "billed_charge": 228.95,
                  "npi": [
                    1104914274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 218.28,
              "providers": [
                {
                  "billed_charge": 218.28,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164633467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1164633467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235578774"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 204.85,
              "providers": [
                {
                  "billed_charge": 204.85,
                  "npi": [
                    1235578774
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255052619"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 271.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1255052619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275197956"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1275197956
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295898302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1295898302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538356357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1538356357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548289697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 248.0,
                  "npi": [
                    1548289697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669542643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1669542643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689822827"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1689822827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 324.58,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861675746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1861675746
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.9,
              "providers": [
                {
                  "billed_charge": 49.4,
                  "npi": [
                    1013915255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023071867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.62,
              "providers": [
                {
                  "billed_charge": 46.0,
                  "npi": [
                    1023071867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.18,
              "providers": [
                {
                  "billed_charge": 18.87,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194234310"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 109.24,
                  "npi": [
                    1194234310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 17.54,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.67,
              "providers": [
                {
                  "billed_charge": 9.67,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.74,
              "providers": [
                {
                  "billed_charge": 16.74,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235576695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1235576695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255380127"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 99.8,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275561185"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 109.24,
                  "npi": [
                    1275561185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.22,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1275593790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366515488"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 79.2,
                  "npi": [
                    1366515488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 70.35,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.45,
              "providers": [
                {
                  "billed_charge": 27.33,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.33,
              "providers": [
                {
                  "billed_charge": 27.33,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 71.45,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467697029"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1467697029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588868947"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.36,
              "providers": [
                {
                  "billed_charge": 11.36,
                  "npi": [
                    1588868947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 74.55,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659472306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 55.68,
                  "npi": [
                    1659472306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659523207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1659523207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.47,
              "providers": [
                {
                  "billed_charge": 9.47,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699927947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.62,
              "providers": [
                {
                  "billed_charge": 33.62,
                  "npi": [
                    1699927947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.58,
              "providers": [
                {
                  "billed_charge": 24.9,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.65,
              "providers": [
                {
                  "billed_charge": 11.65,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760471585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.75,
              "providers": [
                {
                  "billed_charge": 7.75,
                  "npi": [
                    1760471585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790888089"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 263.0,
                  "npi": [
                    1790888089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831378249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1831378249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841408283"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.7,
              "providers": [
                {
                  "billed_charge": 13.7,
                  "npi": [
                    1841408283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871545673"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1871545673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962985036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1962985036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992764419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1992764419
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003358235"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.91,
              "providers": [
                {
                  "billed_charge": 35.91,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.08,
              "providers": [
                {
                  "billed_charge": 43.08,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.16,
              "providers": [
                {
                  "billed_charge": 53.16,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184096232"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.71,
              "providers": [
                {
                  "billed_charge": 28.71,
                  "npi": [
                    1184096232
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.42,
              "providers": [
                {
                  "billed_charge": 57.42,
                  "npi": [
                    1184096232
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184709057"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.75,
              "providers": [
                {
                  "billed_charge": 39.75,
                  "npi": [
                    1184709057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295080026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.12,
              "providers": [
                {
                  "billed_charge": 28.12,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295130615"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.34,
              "providers": [
                {
                  "billed_charge": 33.34,
                  "npi": [
                    1295130615
                  ]
                }
              ]
            },
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1295130615
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366154155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.73,
              "providers": [
                {
                  "billed_charge": 38.73,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.74,
              "providers": [
                {
                  "billed_charge": 38.74,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.12,
              "providers": [
                {
                  "billed_charge": 39.12,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.97,
              "providers": [
                {
                  "billed_charge": 50.97,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528444940"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.9,
              "providers": [
                {
                  "billed_charge": 35.9,
                  "npi": [
                    1528444940
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588312607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.66,
              "providers": [
                {
                  "billed_charge": 66.25,
                  "npi": [
                    1588312607
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.25,
              "providers": [
                {
                  "billed_charge": 66.25,
                  "npi": [
                    1588312607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679371637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.94,
              "providers": [
                {
                  "billed_charge": 20.94,
                  "npi": [
                    1679371637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.05,
              "providers": [
                {
                  "billed_charge": 20.05,
                  "npi": [
                    1689077380
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.94,
              "providers": [
                {
                  "billed_charge": 20.94,
                  "npi": [
                    1689077380
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Anesthesiologist fee to be \"put under\" for procedure",
      "billing_code_type": "CPT",
      "billing_code": "00811",
      "billing_code_type_version": "2026",
      "description": "Anesthesiologist fee to be \"put under\" for procedure",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 357.0,
              "providers": [
                {
                  "billed_charge": 357.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386796332"
          },
          "service_code": [
            "19",
            "24"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 930.0,
                  "npi": [
                    1386796332
                  ]
                },
                {
                  "billed_charge": 960.0,
                  "npi": [
                    1386796332
                  ]
                },
                {
                  "billed_charge": 1085.0,
                  "npi": [
                    1386796332
                  ]
                },
                {
                  "billed_charge": 1120.0,
                  "npi": [
                    1386796332
                  ]
                }
              ]
            },
            {
              "allowed_amount": 930.0,
              "providers": [
                {
                  "billed_charge": 930.0,
                  "npi": [
                    1386796332
                  ]
                }
              ]
            },
            {
              "allowed_amount": 960.0,
              "providers": [
                {
                  "billed_charge": 960.0,
                  "npi": [
                    1386796332
                  ]
                }
              ]
            },
            {
              "allowed_amount": 1085.0,
              "providers": [
                {
                  "billed_charge": 1085.0,
                  "npi": [
                    1386796332
                  ]
                }
              ]
            },
            {
              "allowed_amount": 1120.0,
              "providers": [
                {
                  "billed_charge": 1120.0,
                  "npi": [
                    1386796332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699742676"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.17,
              "providers": [
                {
                  "billed_charge": 94.17,
                  "npi": [
                    1699742676
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700269339"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.41,
              "providers": [
                {
                  "billed_charge": 639.6,
                  "npi": [
                    1700269339
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Immunologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Immunologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023562279"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1023562279
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1023562279
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20",
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.05,
              "providers": [
                {
                  "billed_charge": 106.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.02,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043874373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.8,
              "providers": [
                {
                  "billed_charge": 104.8,
                  "npi": [
                    1043874373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134144322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1134144322
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1134144322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134350523"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1134350523
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134870322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1134870322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.8,
              "providers": [
                {
                  "billed_charge": 125.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.44,
              "providers": [
                {
                  "billed_charge": 141.44,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174866297"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1174866297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174927354"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1174927354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215129721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1215129721
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 308.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225085855"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 302.0,
                  "npi": [
                    1225085855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245333715"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.8,
              "providers": [
                {
                  "billed_charge": 108.8,
                  "npi": [
                    1245333715
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275671216"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1275671216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295096758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.12,
              "providers": [
                {
                  "billed_charge": 168.12,
                  "npi": [
                    1295096758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295121036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1295121036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295717338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1295717338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306945084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 365.0,
              "providers": [
                {
                  "billed_charge": 365.0,
                  "npi": [
                    1306945084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356966121"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 334.0,
              "providers": [
                {
                  "billed_charge": 334.0,
                  "npi": [
                    1356966121
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366440224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1366440224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 291.02,
              "providers": [
                {
                  "billed_charge": 291.02,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447248265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1447248265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518200500"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1518200500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518286269"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1518286269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538337480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1538337480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558005959"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1558005959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558867770"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1558867770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588605711"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.5,
              "providers": [
                {
                  "billed_charge": 94.5,
                  "npi": [
                    1588605711
                  ]
                }
              ]
            },
            {
              "allowed_amount": 184.53,
              "providers": [
                {
                  "billed_charge": 184.53,
                  "npi": [
                    1588605711
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.0,
              "providers": [
                {
                  "billed_charge": 171.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598218372"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1598218372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1598776916
                  ]
                },
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 334.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629193123"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1629193123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649921834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.21,
              "providers": [
                {
                  "billed_charge": 156.21,
                  "npi": [
                    1649921834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669465985"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 302.0,
              "providers": [
                {
                  "billed_charge": 302.0,
                  "npi": [
                    1669465985
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679579320"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 201.15,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1679579320
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801983739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.73,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1801983739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811125644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1811125644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811178254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811616782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.79,
              "providers": [
                {
                  "billed_charge": 137.79,
                  "npi": [
                    1811616782
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1811616782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811915713"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 260.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1811915713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891798500"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.73,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1891798500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 224.28,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.2,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972628451"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1972628451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982111084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1982111084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982167664"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1982167664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992991509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1992991509
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003945353"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 248.72,
                  "npi": [
                    1003945353
                  ]
                }
              ]
            },
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1003945353
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013670934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1013670934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023651312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.28,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1023651312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033227723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.8,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1033227723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043761331"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1043761331
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053545335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1053545335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063409555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.0,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1063409555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.01,
              "providers": [
                {
                  "billed_charge": 203.01,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 203.01,
              "providers": [
                {
                  "billed_charge": 203.01,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083676084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1083676084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093113912"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1093113912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093245979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1093245979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093595761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.37,
              "providers": [
                {
                  "billed_charge": 128.2,
                  "npi": [
                    1093595761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093910697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.5,
              "providers": [
                {
                  "billed_charge": 161.5,
                  "npi": [
                    1093910697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114022167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.25,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355617"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.6,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1114355617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124465588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1124465588
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1124465588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134485550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 249.03,
                  "npi": [
                    1134485550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134503840"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 384.63,
                  "npi": [
                    1134503840
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154340925"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.75,
              "providers": [
                {
                  "billed_charge": 131.75,
                  "npi": [
                    1154340925
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154963288"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.9,
              "providers": [
                {
                  "billed_charge": 102.9,
                  "npi": [
                    1154963288
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174517502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.2,
              "providers": [
                {
                  "billed_charge": 166.2,
                  "npi": [
                    1174517502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174720205"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174720205
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174790075"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.35,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1174790075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174982540"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1174982540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184459661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.57,
              "providers": [
                {
                  "billed_charge": 375.0,
                  "npi": [
                    1184459661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184627341"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.0,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1184627341
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194744326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.63,
              "providers": [
                {
                  "billed_charge": 161.61,
                  "npi": [
                    1194744326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205556594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.29,
              "providers": [
                {
                  "billed_charge": 364.39,
                  "npi": [
                    1205556594
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1205556594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205840105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1205840105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205855988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.0,
              "providers": [
                {
                  "billed_charge": 122.0,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215321104"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1215321104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215593249"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.8,
              "providers": [
                {
                  "billed_charge": 99.8,
                  "npi": [
                    1215593249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 222.63,
              "providers": [
                {
                  "billed_charge": 222.63,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225617525"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1225617525
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235131335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.62,
              "providers": [
                {
                  "billed_charge": 52.62,
                  "npi": [
                    1235131335
                  ]
                }
              ]
            },
            {
              "allowed_amount": 97.1,
              "providers": [
                {
                  "billed_charge": 97.1,
                  "npi": [
                    1235131335
                  ]
                }
              ]
            },
            {
              "allowed_amount": 248.72,
              "providers": [
                {
                  "billed_charge": 248.72,
                  "npi": [
                    1235131335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235170283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 277.0,
                  "npi": [
                    1235170283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 409.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.65,
              "providers": [
                {
                  "billed_charge": 149.98,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235455569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.68,
              "providers": [
                {
                  "billed_charge": 228.84,
                  "npi": [
                    1235455569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235535105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1235535105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235600834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1235600834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265016174"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1265016174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265047005"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1265047005
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265540793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.2,
              "providers": [
                {
                  "billed_charge": 95.2,
                  "npi": [
                    1265540793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265585806"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.29,
              "providers": [
                {
                  "billed_charge": 462.0,
                  "npi": [
                    1265585806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275102691"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1275102691
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275350381"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.46,
              "providers": [
                {
                  "billed_charge": 146.46,
                  "npi": [
                    1275350381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275675068"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.4,
              "providers": [
                {
                  "billed_charge": 134.4,
                  "npi": [
                    1275675068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275756132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 297.0,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1275756132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275779225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.6,
              "providers": [
                {
                  "billed_charge": 141.6,
                  "npi": [
                    1275779225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285267419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1285267419
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306233077"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1306233077
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306641097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1306641097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316962103"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 201.0,
                  "npi": [
                    1316962103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326612987"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1326612987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356649552"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.8,
              "providers": [
                {
                  "billed_charge": 99.8,
                  "npi": [
                    1356649552
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356866081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1356866081
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.04,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1356866081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356996326"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1356996326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366419574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.88,
              "providers": [
                {
                  "billed_charge": 126.88,
                  "npi": [
                    1366419574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366515488"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1366515488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376004655"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1376004655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376508788"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.0,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1376508788
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386763514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 267.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1386763514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396277968"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.35,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1396277968
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396441911"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1396441911
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396447157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396447157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407075880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.72,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1407075880
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.72,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1407075880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.29,
              "providers": [
                {
                  "billed_charge": 161.61,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.98,
              "providers": [
                {
                  "billed_charge": 234.37,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417987124"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.57,
              "providers": [
                {
                  "billed_charge": 405.0,
                  "npi": [
                    1417987124
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437493467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 494.23,
              "providers": [
                {
                  "billed_charge": 494.23,
                  "npi": [
                    1437493467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447075403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1447075403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447315742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1447315742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447420971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1447420971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447675905"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 245.0,
                  "npi": [
                    1447675905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457329435"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1457329435
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467895359"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1467895359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477323566"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1477323566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477547727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 261.0,
              "providers": [
                {
                  "billed_charge": 261.0,
                  "npi": [
                    1477547727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477597300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1477597300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477907186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 248.8,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1477907186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477929206"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.1,
              "providers": [
                {
                  "billed_charge": 135.1,
                  "npi": [
                    1477929206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487746020"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 384.63,
                  "npi": [
                    1487746020
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497270680"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.58,
              "providers": [
                {
                  "billed_charge": 162.62,
                  "npi": [
                    1497270680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497879209"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.6,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1497879209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518445410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 146.55,
                  "npi": [
                    1518445410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528432036"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.56,
              "providers": [
                {
                  "billed_charge": 139.56,
                  "npi": [
                    1528432036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538550983"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.37,
              "providers": [
                {
                  "billed_charge": 152.95,
                  "npi": [
                    1538550983
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538833892"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538833892
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548291883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.15,
              "providers": [
                {
                  "billed_charge": 102.15,
                  "npi": [
                    1548291883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548923998"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1548923998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558803486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.25,
              "providers": [
                {
                  "billed_charge": 409.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558974709"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.0,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1558974709
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598782534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1598782534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609870161"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1609870161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639143712"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1639143712
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649259656"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.37,
              "providers": [
                {
                  "billed_charge": 152.95,
                  "npi": [
                    1649259656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649372434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1649372434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669819355"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.05,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1669819355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689902231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.85,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1689902231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699069732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 298.0,
                  "npi": [
                    1699069732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700285418"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1700285418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710003520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 177.0,
                  "npi": [
                    1710003520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710037080"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1710037080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720315393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.0,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1720315393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720890486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1720890486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730244872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.24,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1730244872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740501246"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740501246
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750503157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.51,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1750503157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750850723"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1750850723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750866224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1750866224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760798540"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 298.0,
                  "npi": [
                    1760798540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760857072"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.87,
              "providers": [
                {
                  "billed_charge": 185.87,
                  "npi": [
                    1760857072
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770543399"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.82,
                  "npi": [
                    1770543399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770587149"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1770587149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770649204"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1770649204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770801144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.72,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1770801144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780405100"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1780405100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.0,
              "providers": [
                {
                  "billed_charge": 51.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811087851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 359.0,
              "providers": [
                {
                  "billed_charge": 378.0,
                  "npi": [
                    1811087851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821046046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.4,
              "providers": [
                {
                  "billed_charge": 133.4,
                  "npi": [
                    1821046046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821080136"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1821080136
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821511676"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.74,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1821511676
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851437719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.05,
              "providers": [
                {
                  "billed_charge": 160.99,
                  "npi": [
                    1851437719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861050148"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1861050148
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891765178"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1891765178
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891770764"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.95,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1891770764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902128929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1902128929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912224577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1912224577
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1912224577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912341975"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 248.8,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1912341975
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922369636"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.29,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1922369636
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922580133"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1922580133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932321338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.1,
              "providers": [
                {
                  "billed_charge": 176.4,
                  "npi": [
                    1932321338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932692357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 146.82,
                  "npi": [
                    1932692357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952076382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1952076382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952084477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1952084477
                  ]
                }
              ]
            },
            {
              "allowed_amount": 133.8,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1952084477
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.39,
              "providers": [
                {
                  "billed_charge": 137.95,
                  "npi": [
                    1952084477
                  ]
                },
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1952084477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952316747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1952316747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.49,
              "providers": [
                {
                  "billed_charge": 180.49,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.5,
              "providers": [
                {
                  "billed_charge": 180.5,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962493650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 86.24,
              "providers": [
                {
                  "billed_charge": 92.77,
                  "npi": [
                    1962493650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992909931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1992909931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.5,
              "providers": [
                {
                  "billed_charge": 180.5,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urgent care center visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Urgent care center visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063770055"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.5,
              "providers": [
                {
                  "billed_charge": 111.5,
                  "npi": [
                    1063770055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083111041"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1083111041
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093779704"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1093779704
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114112745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1114112745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144331760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 297.0,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1144331760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174225247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.34,
              "providers": [
                {
                  "billed_charge": 93.34,
                  "npi": [
                    1174225247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184917841"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.2,
              "providers": [
                {
                  "billed_charge": 49.2,
                  "npi": [
                    1184917841
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194107425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.29,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1194107425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205125531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.5,
              "providers": [
                {
                  "billed_charge": 111.5,
                  "npi": [
                    1205125531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215599378"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1215599378
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215780499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1215780499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447543657"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.5,
              "providers": [
                {
                  "billed_charge": 120.5,
                  "npi": [
                    1447543657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447605936"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 254.0,
                  "npi": [
                    1447605936
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467673418"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1467673418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477596203"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.82,
              "providers": [
                {
                  "billed_charge": 116.01,
                  "npi": [
                    1477596203
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487949186"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1487949186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497108690"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1497108690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548451610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1548451610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558362830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1558362830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588115935"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1588115935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619081312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.0,
              "providers": [
                {
                  "billed_charge": 107.0,
                  "npi": [
                    1619081312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639346471"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1639346471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649312448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 230.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1649312448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 238.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1649312448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669525382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1669525382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679208334"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1679208334
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679962237"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1679962237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699746537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.04,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1699746537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730244872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 135.75,
                  "npi": [
                    1730244872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760854442"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.0,
              "providers": [
                {
                  "billed_charge": 93.0,
                  "npi": [
                    1760854442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811101579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811101579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811465206"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1811465206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811784127"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1811784127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821190307"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1821190307
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841476736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1841476736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891209797"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1891209797
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902230329"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1902230329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902329592"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.38,
              "providers": [
                {
                  "billed_charge": 172.38,
                  "npi": [
                    1902329592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922397553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1922397553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922627157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1922627157
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033976170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.61,
              "providers": [
                {
                  "billed_charge": 43.75,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.75,
              "providers": [
                {
                  "billed_charge": 43.75,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.4,
              "providers": [
                {
                  "billed_charge": 49.66,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063447514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.51,
              "providers": [
                {
                  "billed_charge": 52.51,
                  "npi": [
                    1063447514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093735060"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.67,
              "providers": [
                {
                  "billed_charge": 26.67,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.41,
              "providers": [
                {
                  "billed_charge": 50.41,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.03,
              "providers": [
                {
                  "billed_charge": 60.03,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124424205"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.37,
              "providers": [
                {
                  "billed_charge": 29.37,
                  "npi": [
                    1124424205
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164571337"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.55,
              "providers": [
                {
                  "billed_charge": 17.55,
                  "npi": [
                    1164571337
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205945888"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.4,
              "providers": [
                {
                  "billed_charge": 29.4,
                  "npi": [
                    1205945888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235434283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.39,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 33.42,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 66.84,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 82.0,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 164.0,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.71,
              "providers": [
                {
                  "billed_charge": 20.71,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.79,
              "providers": [
                {
                  "billed_charge": 20.79,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.21,
              "providers": [
                {
                  "billed_charge": 41.21,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.19,
              "providers": [
                {
                  "billed_charge": 50.19,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306155510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.25,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1306155510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316517576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.27,
              "providers": [
                {
                  "billed_charge": 23.27,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.28,
              "providers": [
                {
                  "billed_charge": 23.28,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.65,
              "providers": [
                {
                  "billed_charge": 25.65,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.7,
              "providers": [
                {
                  "billed_charge": 25.7,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417312075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1417312075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457190159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1457190159
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.87,
              "providers": [
                {
                  "billed_charge": 106.87,
                  "npi": [
                    1457190159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598094955"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.98,
              "providers": [
                {
                  "billed_charge": 101.57,
                  "npi": [
                    1598094955
                  ]
                },
                {
                  "billed_charge": 101.58,
                  "npi": [
                    1598094955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649852336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.17,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1649852336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689155145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689155145
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.15,
              "providers": [
                {
                  "billed_charge": 26.15,
                  "npi": [
                    1689155145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700301561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1700301561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700853041"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.49,
              "providers": [
                {
                  "billed_charge": 88.64,
                  "npi": [
                    1700853041
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770688392"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.32,
              "providers": [
                {
                  "billed_charge": 21.32,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.14,
              "providers": [
                {
                  "billed_charge": 27.14,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.15,
              "providers": [
                {
                  "billed_charge": 27.15,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942395660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.1,
              "providers": [
                {
                  "billed_charge": 70.1,
                  "npi": [
                    1942395660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972221174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.54,
              "providers": [
                {
                  "billed_charge": 68.18,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 68.18,
              "providers": [
                {
                  "billed_charge": 68.18,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.63,
              "providers": [
                {
                  "billed_charge": 79.54,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972655454"
          },
          "service_code": [
            "11",
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.5,
              "providers": [
                {
                  "billed_charge": 40.5,
                  "npi": [
                    1972655454
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.51,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972655454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982666111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1982666111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982781886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1982781886
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1982781886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992289250"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1992289250
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053330803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1053330803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114355260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134787625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154640993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1154640993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164590576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.58,
              "providers": [
                {
                  "billed_charge": 30.58,
                  "npi": [
                    1164590576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 11.2,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 17.8,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 232.49,
              "providers": [
                {
                  "billed_charge": 232.49,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.54,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326269598"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1326269598
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457329435"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1457329435
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467857102"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1467857102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497871628"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1497871628
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1497871628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528064649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 264.59,
                  "npi": [
                    1528064649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.55,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558803486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 22.5,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649273434"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 183.63,
                  "npi": [
                    1649273434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659354603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1659354603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679502959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.8,
              "providers": [
                {
                  "billed_charge": 4.8,
                  "npi": [
                    1679502959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689641680"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689641680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689650616"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699327734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.55,
              "providers": [
                {
                  "billed_charge": 33.8,
                  "npi": [
                    1699327734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720212228"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 36.75,
                  "npi": [
                    1720212228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750312997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1750312997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770697104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.89,
              "providers": [
                {
                  "billed_charge": 5.89,
                  "npi": [
                    1770697104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861496564"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1861496564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871295709"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 12.72,
                  "npi": [
                    1871295709
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871556621"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.56,
              "providers": [
                {
                  "billed_charge": 54.0,
                  "npi": [
                    1871556621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912224577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1912224577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.59,
              "providers": [
                {
                  "billed_charge": 9.59,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962214098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1962214098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                },
                {
                  "billed_charge": 206.03,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.04,
              "providers": [
                {
                  "billed_charge": 138.04,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.18,
              "providers": [
                {
                  "billed_charge": 138.18,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.24,
              "providers": [
                {
                  "billed_charge": 138.24,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.25,
              "providers": [
                {
                  "billed_charge": 138.25,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.04,
              "providers": [
                {
                  "billed_charge": 139.04,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.61,
              "providers": [
                {
                  "billed_charge": 3.61,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Certified registered nurse anesthetist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Certified registered nurse anesthetist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003103474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1003103474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003818352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 182.15,
                  "npi": [
                    1003818352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003891052"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.93,
              "providers": [
                {
                  "billed_charge": 42.93,
                  "npi": [
                    1003891052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013008192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.2,
              "providers": [
                {
                  "billed_charge": 111.2,
                  "npi": [
                    1013008192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013015825"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.02,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1013015825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023013133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1023013133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053503763"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.46,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1053503763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053533513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1053533513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063264299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 219.0,
              "providers": [
                {
                  "billed_charge": 219.0,
                  "npi": [
                    1063264299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063532430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1063532430
                  ]
                }
              ]
            },
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1063532430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.26,
              "providers": [
                {
                  "billed_charge": 108.26,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 535.66,
              "providers": [
                {
                  "billed_charge": 535.66,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124197637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.0,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1124197637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124341649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.81,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1124341649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124460811"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1124460811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124765052"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1124765052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144495151"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.52,
              "providers": [
                {
                  "billed_charge": 155.52,
                  "npi": [
                    1144495151
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154529584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.2,
              "providers": [
                {
                  "billed_charge": 125.2,
                  "npi": [
                    1154529584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184801052"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.35,
              "providers": [
                {
                  "billed_charge": 110.35,
                  "npi": [
                    1184801052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184938441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 184.3,
              "providers": [
                {
                  "billed_charge": 184.3,
                  "npi": [
                    1184938441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 116.68,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194958223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1194958223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205356466"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1205356466
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 74.2,
              "providers": [
                {
                  "billed_charge": 74.2,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225292865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1225292865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225558497"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.98,
              "providers": [
                {
                  "billed_charge": 140.4,
                  "npi": [
                    1225558497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245233766"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1245233766
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.74,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1245475094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255624722"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1255624722
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265096036"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.84,
              "providers": [
                {
                  "billed_charge": 150.15,
                  "npi": [
                    1265096036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275606873"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.56,
              "providers": [
                {
                  "billed_charge": 132.56,
                  "npi": [
                    1275606873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285173195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306083340"
          },
          "service_code": [
            "50",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1306083340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316233158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1316233158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316914237"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.8,
              "providers": [
                {
                  "billed_charge": 109.8,
                  "npi": [
                    1316914237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.25,
              "providers": [
                {
                  "billed_charge": 72.25,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.13,
              "providers": [
                {
                  "billed_charge": 76.86,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336478163"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 371.0,
                  "npi": [
                    1336478163
                  ]
                }
              ]
            },
            {
              "allowed_amount": 92.34,
              "providers": [
                {
                  "billed_charge": 371.0,
                  "npi": [
                    1336478163
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346273562"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1346273562
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.74,
              "providers": [
                {
                  "billed_charge": 536.0,
                  "npi": [
                    1346273562
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356634216"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1356634216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366441461"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1366441461
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417059205"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1417059205
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427027903"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1427027903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427279207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.2,
              "providers": [
                {
                  "billed_charge": 64.2,
                  "npi": [
                    1427279207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467089292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.69,
              "providers": [
                {
                  "billed_charge": 115.69,
                  "npi": [
                    1467089292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467181909"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1467181909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467460311"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1467460311
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.79,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518906866"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1518906866
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528063740"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1528063740
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528605177"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.25,
              "providers": [
                {
                  "billed_charge": 149.25,
                  "npi": [
                    1528605177
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538592753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 181.0,
                  "npi": [
                    1538592753
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.76,
              "providers": [
                {
                  "billed_charge": 181.0,
                  "npi": [
                    1538592753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568488609"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1568488609
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609264795"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1609264795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629609292"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.55,
              "providers": [
                {
                  "billed_charge": 69.55,
                  "npi": [
                    1629609292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639231616"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1639231616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639279045"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.04,
              "providers": [
                {
                  "billed_charge": 97.04,
                  "npi": [
                    1639279045
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649384223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1649384223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669530846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1669530846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679723894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1679723894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.32,
              "providers": [
                {
                  "billed_charge": 77.32,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.97,
              "providers": [
                {
                  "billed_charge": 90.97,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.54,
              "providers": [
                {
                  "billed_charge": 104.54,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.74,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740691948"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.32,
              "providers": [
                {
                  "billed_charge": 121.32,
                  "npi": [
                    1740691948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780026914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.4,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1780026914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780617860"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.75,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1780617860
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811933583"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.6,
              "providers": [
                {
                  "billed_charge": 173.6,
                  "npi": [
                    1811933583
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831279868"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1831279868
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831330976"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1831330976
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881948073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.25,
              "providers": [
                {
                  "billed_charge": 98.25,
                  "npi": [
                    1881948073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891045209"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.74,
              "providers": [
                {
                  "billed_charge": 278.0,
                  "npi": [
                    1891045209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912066499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912305905"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.04,
              "providers": [
                {
                  "billed_charge": 266.0,
                  "npi": [
                    1912305905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922016864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1922016864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932192515"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1932192515
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952395121"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.38,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1952395121
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 74.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982903951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982903951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134633761"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.54,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1134633761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.68,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205205366"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.96,
              "providers": [
                {
                  "billed_charge": 187.86,
                  "npi": [
                    1205205366
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235422403"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 142.16,
                  "npi": [
                    1235422403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245297753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 183.21,
                  "npi": [
                    1245297753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255526471"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1255526471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427357284"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.45,
              "providers": [
                {
                  "billed_charge": 65.45,
                  "npi": [
                    1427357284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659725018"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.8,
              "providers": [
                {
                  "billed_charge": 176.0,
                  "npi": [
                    1659725018
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669530846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1669530846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077364"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1689077364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750570164"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1750570164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            },
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821090655"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1821090655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851348304"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1851348304
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932127933"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1932127933
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063510782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.73,
              "providers": [
                {
                  "billed_charge": 122.73,
                  "npi": [
                    1063510782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083785349"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1083785349
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093093197"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1093093197
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093468951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1093468951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104853373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1104853373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164134664"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1164134664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184879843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1184879843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235995796"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1235995796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475771"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265435564"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1265435564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326233388"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1326233388
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346413648"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.75,
              "providers": [
                {
                  "billed_charge": 113.75,
                  "npi": [
                    1346413648
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356325112"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1356325112
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366753758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1366753758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376656447"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1376656447
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386153914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1386153914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396709648"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.4,
              "providers": [
                {
                  "billed_charge": 90.4,
                  "npi": [
                    1396709648
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407431174"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 350.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1407431174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407995723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1407995723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417007212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1417007212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417950668"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.0,
              "providers": [
                {
                  "billed_charge": 144.0,
                  "npi": [
                    1417950668
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447802780"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1447802780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528198223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.57,
              "providers": [
                {
                  "billed_charge": 163.0,
                  "npi": [
                    1528198223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538515739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 212.5,
              "providers": [
                {
                  "billed_charge": 212.5,
                  "npi": [
                    1538515739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689689481"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1689689481
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700914751"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 503.21,
              "providers": [
                {
                  "billed_charge": 503.21,
                  "npi": [
                    1700914751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851505077"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1851505077
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861854176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1861854176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871047399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1871047399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922551621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1922551621
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.42,
              "providers": [
                {
                  "billed_charge": 169.06,
                  "npi": [
                    1922551621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982896809"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1982896809
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urinalysis",
      "billing_code_type": "CPT",
      "billing_code": "81003",
      "billing_code_type_version": "2026",
      "description": "Urinalysis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093595761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.19,
              "providers": [
                {
                  "billed_charge": 8.34,
                  "npi": [
                    1093595761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1114355260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235131335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.26,
              "providers": [
                {
                  "billed_charge": 1.26,
                  "npi": [
                    1235131335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295212033"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295212033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316972599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 5.5,
                  "npi": [
                    1316972599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326269598"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1326269598
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326612987"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1326612987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396600151"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1396600151
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.6,
              "providers": [
                {
                  "billed_charge": 3.6,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 351.0,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649237587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.41,
              "providers": [
                {
                  "billed_charge": 11.41,
                  "npi": [
                    1649237587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669471728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.39,
              "providers": [
                {
                  "billed_charge": 9.39,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.24,
              "providers": [
                {
                  "billed_charge": 10.24,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669894622"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1669894622
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750482048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1750482048
                  ]
                }
              ]
            },
            {
              "allowed_amount": 3.12,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1750482048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760047765"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.83,
              "providers": [
                {
                  "billed_charge": 3.83,
                  "npi": [
                    1760047765
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.22,
              "providers": [
                {
                  "billed_charge": 74.22,
                  "npi": [
                    1760047765
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922580133"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1922580133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.93,
              "providers": [
                {
                  "billed_charge": 80.93,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982829172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.83,
              "providers": [
                {
                  "billed_charge": 15.33,
                  "npi": [
                    1982829172
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Gastroenterologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Gastroenterologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003321407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1003321407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003971276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 184.5,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1003971276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013781319"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013781319
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023007424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.5,
              "providers": [
                {
                  "billed_charge": 131.5,
                  "npi": [
                    1023007424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104627926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.28,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1104627926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114022167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 387.87,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.24,
              "providers": [
                {
                  "billed_charge": 168.08,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114361458"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1114361458
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134354798"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1134354798
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144396581"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.15,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1144396581
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174501902"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1174501902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.5,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 79.94,
              "providers": [
                {
                  "billed_charge": 79.94,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295505402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1295505402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316309735"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 340.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1316309735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326070939"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1326070939
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326109851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1326109851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356305916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 204.0,
              "providers": [
                {
                  "billed_charge": 204.0,
                  "npi": [
                    1356305916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356313951"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1356313951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356879902"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 357.0,
                  "npi": [
                    1356879902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376221531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.8,
              "providers": [
                {
                  "billed_charge": 711.0,
                  "npi": [
                    1376221531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386361756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1386361756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437855327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1437855327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477527034"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1477527034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497778047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.23,
              "providers": [
                {
                  "billed_charge": 36.23,
                  "npi": [
                    1497778047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497980064"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1497980064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568403921"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1568403921
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568697696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568697696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598980781"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1598980781
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629287081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1629287081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669467601"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1669467601
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1679599088
                  ]
                },
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.32,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689610149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.73,
              "providers": [
                {
                  "billed_charge": 48.73,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.32,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699791343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.28,
              "providers": [
                {
                  "billed_charge": 540.0,
                  "npi": [
                    1699791343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710946322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.89,
              "providers": [
                {
                  "billed_charge": 164.89,
                  "npi": [
                    1710946322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730121286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1730121286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760402424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1760402424
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.49,
              "providers": [
                {
                  "billed_charge": 128.49,
                  "npi": [
                    1760402424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760651806"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.85,
              "providers": [
                {
                  "billed_charge": 55.85,
                  "npi": [
                    1760651806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780098046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1780098046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780638833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.32,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1780638833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790592855"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 305.0,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1790592855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790706596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.85,
              "providers": [
                {
                  "billed_charge": 55.85,
                  "npi": [
                    1790706596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831388255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1831388255
                  ]
                },
                {
                  "billed_charge": 500.0,
                  "npi": [
                    1831388255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891777355"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1891777355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932906385"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1932906385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952540825"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.87,
              "providers": [
                {
                  "billed_charge": 98.87,
                  "npi": [
                    1952540825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013954510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1013954510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.59,
              "providers": [
                {
                  "billed_charge": 60.59,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720018971"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1720018971
                  ]
                },
                {
                  "billed_charge": 42.63,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.36,
              "providers": [
                {
                  "billed_charge": 36.36,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780625228"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 37.35,
                  "npi": [
                    1780625228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 21.37,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.37,
              "providers": [
                {
                  "billed_charge": 21.37,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pediatrician visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Pediatrician visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003940909"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.25,
              "providers": [
                {
                  "billed_charge": 191.25,
                  "npi": [
                    1003940909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063235208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.46,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1063235208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063495299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1063495299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164480901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.96,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1164480901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225109838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.72,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1225109838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245398239"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1245398239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306824800"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.25,
              "providers": [
                {
                  "billed_charge": 53.25,
                  "npi": [
                    1306824800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316470594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.95,
              "providers": [
                {
                  "billed_charge": 95.95,
                  "npi": [
                    1316470594
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1316470594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346251733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1346251733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447614656"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1447614656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467406132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1467406132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477586063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.71,
              "providers": [
                {
                  "billed_charge": 131.71,
                  "npi": [
                    1477586063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528178787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1528178787
                  ]
                }
              ]
            },
            {
              "allowed_amount": 92.61,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1528178787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538155262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1538155262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.72,
              "providers": [
                {
                  "billed_charge": 125.72,
                  "npi": [
                    1558380527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588750723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1588750723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730577172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1730577172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760471585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1760471585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841402781"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.47,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1841402781
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881765030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1881765030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891745212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.31,
              "providers": [
                {
                  "billed_charge": 88.31,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932160876"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1932160876
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942779772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.9,
              "providers": [
                {
                  "billed_charge": 109.9,
                  "npi": [
                    1942779772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972479541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1972479541
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003060369"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 86.4,
              "providers": [
                {
                  "billed_charge": 86.4,
                  "npi": [
                    1003060369
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003110453"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1003110453
                  ]
                }
              ]
            },
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1003110453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003216011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 176.5,
              "providers": [
                {
                  "billed_charge": 192.5,
                  "npi": [
                    1003216011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003832403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1003832403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013313857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.5,
              "providers": [
                {
                  "billed_charge": 91.5,
                  "npi": [
                    1013313857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023198660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.75,
              "providers": [
                {
                  "billed_charge": 73.75,
                  "npi": [
                    1023198660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023229143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.81,
              "providers": [
                {
                  "billed_charge": 120.81,
                  "npi": [
                    1023229143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023332970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1023332970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023504180"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1023504180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023529765"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 182.36,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1023529765
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033137740"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 161.5,
                  "npi": [
                    1033137740
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033716402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1033716402
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1033716402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043228984"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.86,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1043228984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043298474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.86,
              "providers": [
                {
                  "billed_charge": 142.39,
                  "npi": [
                    1043298474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043331978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1043331978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053049064"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.01,
              "providers": [
                {
                  "billed_charge": 126.01,
                  "npi": [
                    1053049064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053360321"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1053360321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053552513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1053552513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053740092"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.62,
              "providers": [
                {
                  "billed_charge": 100.62,
                  "npi": [
                    1053740092
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1053740092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053780460"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1053780460
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.8,
              "providers": [
                {
                  "billed_charge": 41.8,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 87.84,
              "providers": [
                {
                  "billed_charge": 87.84,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.77,
              "providers": [
                {
                  "billed_charge": 142.43,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.86,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063476364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.93,
              "providers": [
                {
                  "billed_charge": 162.93,
                  "npi": [
                    1063476364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063704401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1063704401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063904076"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.9,
              "providers": [
                {
                  "billed_charge": 109.9,
                  "npi": [
                    1063904076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073086690"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1073086690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073956355"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1073956355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083628911"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.27,
              "providers": [
                {
                  "billed_charge": 103.99,
                  "npi": [
                    1083628911
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083688980"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1083688980
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1083688980
                  ]
                }
              ]
            },
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1083688980
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083924450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1083924450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093468951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1093468951
                  ]
                }
              ]
            },
            {
              "allowed_amount": 183.72,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1093468951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114038544"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1114038544
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114970456"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.3,
              "providers": [
                {
                  "billed_charge": 118.3,
                  "npi": [
                    1114970456
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.99,
              "providers": [
                {
                  "billed_charge": 102.99,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134375280"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1134375280
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134501422"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1134501422
                  ]
                }
              ]
            },
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1134501422
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134544679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1134544679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134817950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1134817950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134953888"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1134953888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134963234"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1134963234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144371576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.88,
              "providers": [
                {
                  "billed_charge": 147.88,
                  "npi": [
                    1144371576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144470808"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 192.5,
                  "npi": [
                    1144470808
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164471116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174182711"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174182711
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174407324"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1174407324
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174573596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.95,
              "providers": [
                {
                  "billed_charge": 161.5,
                  "npi": [
                    1174573596
                  ]
                },
                {
                  "billed_charge": 162.5,
                  "npi": [
                    1174573596
                  ]
                }
              ]
            },
            {
              "allowed_amount": 152.5,
              "providers": [
                {
                  "billed_charge": 161.5,
                  "npi": [
                    1174573596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174720973"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 222.55,
                  "npi": [
                    1174720973
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1174720973
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184176620"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1184176620
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1184176620
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184256844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 263.0,
                  "npi": [
                    1184256844
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1184256844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194781302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.4,
              "providers": [
                {
                  "billed_charge": 158.4,
                  "npi": [
                    1194781302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205198561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.94,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1205198561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.94,
              "providers": [
                {
                  "billed_charge": 28.94,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205591344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.04,
              "providers": [
                {
                  "billed_charge": 169.8,
                  "npi": [
                    1205591344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205833894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.59,
              "providers": [
                {
                  "billed_charge": 72.59,
                  "npi": [
                    1205833894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 174.22,
              "providers": [
                {
                  "billed_charge": 190.31,
                  "npi": [
                    1205833894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205979952"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1205979952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215048673"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1215048673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225038326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.44,
              "providers": [
                {
                  "billed_charge": 229.0,
                  "npi": [
                    1225038326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225314982"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.67,
              "providers": [
                {
                  "billed_charge": 32.67,
                  "npi": [
                    1225314982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235119546"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.25,
              "providers": [
                {
                  "billed_charge": 101.25,
                  "npi": [
                    1235119546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235170283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235170283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 287.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235561820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1235561820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235713538"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1235713538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245340835"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.59,
              "providers": [
                {
                  "billed_charge": 78.59,
                  "npi": [
                    1245340835
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245490747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 273.01,
                  "npi": [
                    1245490747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255337812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1255337812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255617833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.22,
              "providers": [
                {
                  "billed_charge": 71.22,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255697306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1255697306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265093918"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.01,
              "providers": [
                {
                  "billed_charge": 163.01,
                  "npi": [
                    1265093918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265544357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.82,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1265544357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275578445"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1275578445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285615286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.6,
              "providers": [
                {
                  "billed_charge": 121.6,
                  "npi": [
                    1285615286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285684225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 206.0,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            },
            {
              "allowed_amount": 103.01,
              "providers": [
                {
                  "billed_charge": 103.01,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295749067"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1295749067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306834262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1306834262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306965611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1306965611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316126139"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.43,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1316126139
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316328214"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.98,
              "providers": [
                {
                  "billed_charge": 99.98,
                  "npi": [
                    1316328214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316444649"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1316444649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326557075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1326557075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336301738"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.55,
              "providers": [
                {
                  "billed_charge": 204.0,
                  "npi": [
                    1336301738
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346240751"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.8,
              "providers": [
                {
                  "billed_charge": 144.8,
                  "npi": [
                    1346240751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346608809"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1346608809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346782380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.28,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1346782380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356800742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1356800742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366202236"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1366202236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366483257"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1366483257
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376089011"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1376089011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376112896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1376112896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386100782"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1386100782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386642304"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.9,
              "providers": [
                {
                  "billed_charge": 102.9,
                  "npi": [
                    1386642304
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386686459"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.1,
              "providers": [
                {
                  "billed_charge": 42.1,
                  "npi": [
                    1386686459
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396277968"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1396277968
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396972048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 399.0,
                  "npi": [
                    1396972048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407261241"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 219.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1407261241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407314016"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.32,
              "providers": [
                {
                  "billed_charge": 183.32,
                  "npi": [
                    1407314016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407886120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.1,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407886120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407971856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.44,
              "providers": [
                {
                  "billed_charge": 168.44,
                  "npi": [
                    1407971856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 144.8,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427067529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.3,
              "providers": [
                {
                  "billed_charge": 174.3,
                  "npi": [
                    1427067529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437139979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1437139979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437311248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1437311248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447998240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.52,
              "providers": [
                {
                  "billed_charge": 107.52,
                  "npi": [
                    1447998240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457190159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1457190159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457695413"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1457695413
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457695488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.43,
              "providers": [
                {
                  "billed_charge": 351.07,
                  "npi": [
                    1457695488
                  ]
                }
              ]
            },
            {
              "allowed_amount": 351.07,
              "providers": [
                {
                  "billed_charge": 351.07,
                  "npi": [
                    1457695488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467230441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1467230441
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1467230441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467451922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1467451922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467697029"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1467697029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467844373"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1467844373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 230.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1467844373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477137396"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1477137396
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477190999"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1477190999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477504645"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1477504645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477517696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.51,
              "providers": [
                {
                  "billed_charge": 51.51,
                  "npi": [
                    1477517696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.14,
              "providers": [
                {
                  "billed_charge": 57.14,
                  "npi": [
                    1477517696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477589737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1477589737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487060216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1487060216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487899464"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1487899464
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497288013"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.25,
              "providers": [
                {
                  "billed_charge": 101.25,
                  "npi": [
                    1497288013
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497865935"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 132.0,
                  "npi": [
                    1497865935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497989479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.69,
              "providers": [
                {
                  "billed_charge": 61.69,
                  "npi": [
                    1497989479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508074154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.38,
              "providers": [
                {
                  "billed_charge": 36.38,
                  "npi": [
                    1508074154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518393065"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 74.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1518393065
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518445410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.95,
              "providers": [
                {
                  "billed_charge": 163.06,
                  "npi": [
                    1518445410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518932011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1518932011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528127172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.24,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1528127172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528183621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1528183621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528299393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1528299393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538135207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.26,
              "providers": [
                {
                  "billed_charge": 101.26,
                  "npi": [
                    1538135207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538193602"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.26,
              "providers": [
                {
                  "billed_charge": 51.26,
                  "npi": [
                    1538193602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548596737"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.41,
              "providers": [
                {
                  "billed_charge": 119.41,
                  "npi": [
                    1548596737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548622343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 184.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1548622343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548669526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1548669526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558659854"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1558659854
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558877076"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1558877076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568193498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1568193498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568471910"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.57,
              "providers": [
                {
                  "billed_charge": 163.0,
                  "npi": [
                    1568471910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578541702"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 86.34,
              "providers": [
                {
                  "billed_charge": 86.34,
                  "npi": [
                    1578541702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578908299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1578908299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588047138"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.22,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1588047138
                  ]
                },
                {
                  "billed_charge": 173.0,
                  "npi": [
                    1588047138
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588732531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1588732531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588847057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.58,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1588847057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588892483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.3,
              "providers": [
                {
                  "billed_charge": 118.3,
                  "npi": [
                    1588892483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598223844"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598223844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609007228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1609007228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.89,
              "providers": [
                {
                  "billed_charge": 113.8,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639572290"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.99,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1639572290
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649394065"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.5,
              "providers": [
                {
                  "billed_charge": 90.5,
                  "npi": [
                    1649394065
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659040285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.57,
              "providers": [
                {
                  "billed_charge": 92.57,
                  "npi": [
                    1659040285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659472306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 177.0,
                  "npi": [
                    1659472306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659523207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1659523207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659700540"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1659700540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669426557"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1669426557
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669433389"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.68,
              "providers": [
                {
                  "billed_charge": 158.4,
                  "npi": [
                    1669433389
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669437109"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 342.81,
              "providers": [
                {
                  "billed_charge": 357.0,
                  "npi": [
                    1669437109
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669498010"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.0,
              "providers": [
                {
                  "billed_charge": 82.0,
                  "npi": [
                    1669498010
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669631081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1669631081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669667713"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.45,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1669667713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699069732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.6,
              "providers": [
                {
                  "billed_charge": 33.6,
                  "npi": [
                    1699069732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699791343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.6,
              "providers": [
                {
                  "billed_charge": 90.6,
                  "npi": [
                    1699791343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699797878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1699797878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700236510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1700236510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710989082"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.35,
              "providers": [
                {
                  "billed_charge": 137.35,
                  "npi": [
                    1710989082
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720216443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1720216443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720579188"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1720579188
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730312190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.81,
              "providers": [
                {
                  "billed_charge": 136.81,
                  "npi": [
                    1730312190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740785492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740785492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750840062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.27,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760488936"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 168.44,
                  "npi": [
                    1760488936
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760875025"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.41,
              "providers": [
                {
                  "billed_charge": 92.41,
                  "npi": [
                    1760875025
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770080673"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1770080673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770141327"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1770141327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780121210"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 217.09,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1780121210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780428094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1780428094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780623827"
          },
          "service_code": [
            "11",
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1780623827
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.01,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1780623827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780686048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.97,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1780686048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780789719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1780789719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790875037"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.82,
              "providers": [
                {
                  "billed_charge": 69.82,
                  "npi": [
                    1790875037
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801100052"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.6,
              "providers": [
                {
                  "billed_charge": 124.6,
                  "npi": [
                    1801100052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801825104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.25,
              "providers": [
                {
                  "billed_charge": 61.25,
                  "npi": [
                    1801825104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801954458"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.85,
              "providers": [
                {
                  "billed_charge": 170.85,
                  "npi": [
                    1801954458
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811049679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1811049679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811371784"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.2,
              "providers": [
                {
                  "billed_charge": 85.2,
                  "npi": [
                    1811371784
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811959190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1811959190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811981772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1811981772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821011248"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.7,
              "providers": [
                {
                  "billed_charge": 102.7,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821388893"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.45,
              "providers": [
                {
                  "billed_charge": 94.45,
                  "npi": [
                    1821388893
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821422759"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1821422759
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821483132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1821483132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1821483132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1821483132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821567769"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.46,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1821567769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821895632"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.17,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1821895632
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831378249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1831378249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841402781"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 132.0,
                  "npi": [
                    1841402781
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841525235"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.0,
              "providers": [
                {
                  "billed_charge": 169.0,
                  "npi": [
                    1841525235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841852076"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1841852076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851541254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.95,
              "providers": [
                {
                  "billed_charge": 89.95,
                  "npi": [
                    1851541254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861134546"
          },
          "service_code": [
            "49"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 385.7,
                  "npi": [
                    1861134546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871545673"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1871545673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1871545673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871677880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 181.0,
                  "npi": [
                    1871677880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881942746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.46,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1881942746
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891984043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1891984043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902170004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1902170004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902251655"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1902251655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902810302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.86,
              "providers": [
                {
                  "billed_charge": 279.0,
                  "npi": [
                    1902810302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912198441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1912198441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912250234"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.62,
              "providers": [
                {
                  "billed_charge": 118.62,
                  "npi": [
                    1912250234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 253.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.15,
              "providers": [
                {
                  "billed_charge": 55.15,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922046424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1922046424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922289412"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1922289412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922874098"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1922874098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932811775"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1932811775
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942327739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1942327739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942333588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.1,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1942333588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952402091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.79,
              "providers": [
                {
                  "billed_charge": 117.91,
                  "npi": [
                    1952402091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962092551"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1962092551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972149169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.22,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972149169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972479541"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1972479541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982137931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.01,
              "providers": [
                {
                  "billed_charge": 103.01,
                  "npi": [
                    1982137931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982607701"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.41,
              "providers": [
                {
                  "billed_charge": 118.41,
                  "npi": [
                    1982607701
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992764419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1992764419
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.08,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "General surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "General surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033530084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1033530084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053050021"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1053050021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073261210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1073261210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073640207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.69,
              "providers": [
                {
                  "billed_charge": 105.69,
                  "npi": [
                    1073640207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114022167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.93,
              "providers": [
                {
                  "billed_charge": 145.93,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114340080"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1114340080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124137351"
          },
          "service_code": [
            "24"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.35,
              "providers": [
                {
                  "billed_charge": 201.18,
                  "npi": [
                    1124137351
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144470808"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1144470808
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154302180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 192.0,
                  "npi": [
                    1154302180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164590576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1164590576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225037799"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.59,
              "providers": [
                {
                  "billed_charge": 35.59,
                  "npi": [
                    1225037799
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.27,
              "providers": [
                {
                  "billed_charge": 224.27,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235170283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1235170283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475771"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 182.68,
              "providers": [
                {
                  "billed_charge": 182.68,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285903179"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1285903179
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316384316"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1316384316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316433477"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1316433477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316444649"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1316444649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326088469"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1326088469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376042796"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.62,
              "providers": [
                {
                  "billed_charge": 207.92,
                  "npi": [
                    1376042796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376514638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.0,
              "providers": [
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1376514638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407927809"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407927809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417007212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1417007212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417939018"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 188.51,
                  "npi": [
                    1417939018
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.6,
              "providers": [
                {
                  "billed_charge": 179.6,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427177641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1427177641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518695915"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.01,
              "providers": [
                {
                  "billed_charge": 126.01,
                  "npi": [
                    1518695915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518721877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.31,
              "providers": [
                {
                  "billed_charge": 124.31,
                  "npi": [
                    1518721877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548923998"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1548923998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665566"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1588665566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598952384"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1598952384
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629025739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.6,
              "providers": [
                {
                  "billed_charge": 144.6,
                  "npi": [
                    1629025739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679664395"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.3,
              "providers": [
                {
                  "billed_charge": 153.3,
                  "npi": [
                    1679664395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689063554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1689063554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689650475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 219.0,
                  "npi": [
                    1689650475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689902231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1689902231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700049699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 426.4,
              "providers": [
                {
                  "billed_charge": 426.4,
                  "npi": [
                    1700049699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740489103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.28,
              "providers": [
                {
                  "billed_charge": 280.8,
                  "npi": [
                    1740489103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750715546"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.0,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1750715546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770142846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1770142846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770610941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 344.0,
              "providers": [
                {
                  "billed_charge": 344.0,
                  "npi": [
                    1770610941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780612119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.79,
              "providers": [
                {
                  "billed_charge": 202.0,
                  "npi": [
                    1780612119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811345390"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1811345390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811490949"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1811490949
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821483132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1821483132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821651944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.63,
              "providers": [
                {
                  "billed_charge": 179.63,
                  "npi": [
                    1821651944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841353687"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.31,
              "providers": [
                {
                  "billed_charge": 232.8,
                  "npi": [
                    1841353687
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841722196"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1841722196
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851490965"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.8,
              "providers": [
                {
                  "billed_charge": 142.8,
                  "npi": [
                    1851490965
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861181364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1861181364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891579009"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1891579009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922263284"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 280.8,
              "providers": [
                {
                  "billed_charge": 280.8,
                  "npi": [
                    1922263284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922289412"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1922289412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922580133"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.06,
              "providers": [
                {
                  "billed_charge": 149.06,
                  "npi": [
                    1922580133
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1922580133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952841447"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1952841447
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962799486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1962799486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992297816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1992297816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1992297816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 320.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1992297816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992548994"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1992548994
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1104235696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1104235696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164014874"
          },
          "service_code": [
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1164014874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396250338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1396250338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467151191"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1467151191
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629065701"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1629065701
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710974035"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1710974035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790231074"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1790231074
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881268654"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1881268654
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063853059"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1063853059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144474982"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 56.66,
                  "npi": [
                    1144474982
                  ]
                }
              ]
            },
            {
              "allowed_amount": 56.66,
              "providers": [
                {
                  "billed_charge": 56.66,
                  "npi": [
                    1144474982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184841983"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1184841983
                  ]
                },
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1184841983
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205954195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.35,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1205954195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215297122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1215297122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.81,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346572328"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1346572328
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1346572328
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437410669"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1437410669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497791560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.16,
              "providers": [
                {
                  "billed_charge": 26.16,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.33,
              "providers": [
                {
                  "billed_charge": 29.33,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.31,
              "providers": [
                {
                  "billed_charge": 32.31,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.5,
              "providers": [
                {
                  "billed_charge": 42.5,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.0,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 52.5,
              "providers": [
                {
                  "billed_charge": 52.5,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 56.5,
              "providers": [
                {
                  "billed_charge": 56.5,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 56.67,
              "providers": [
                {
                  "billed_charge": 56.67,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548151954"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1548151954
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598952384"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.53,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1598952384
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.73,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1598952384
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609031624"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1609031624
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760110373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1760110373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780021683"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1780021683
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1780021683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811490949"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1811490949
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831321272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1831321272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831439173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1831439173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891855938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1891855938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902335177"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1902335177
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urinalysis",
      "billing_code_type": "CPT",
      "billing_code": "81002",
      "billing_code_type_version": "2026",
      "description": "Urinalysis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.22,
              "providers": [
                {
                  "billed_charge": 5.22,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.22,
              "providers": [
                {
                  "billed_charge": 5.22,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.8,
              "providers": [
                {
                  "billed_charge": 4.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.22,
              "providers": [
                {
                  "billed_charge": 5.22,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306468418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.71,
              "providers": [
                {
                  "billed_charge": 2.71,
                  "npi": [
                    1306468418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.22,
              "providers": [
                {
                  "billed_charge": 5.22,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.04,
              "providers": [
                {
                  "billed_charge": 15.04,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.96,
              "providers": [
                {
                  "billed_charge": 6.96,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962419978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.32,
              "providers": [
                {
                  "billed_charge": 4.32,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.5,
              "providers": [
                {
                  "billed_charge": 4.5,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1164570917"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1164570917
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336491638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1336491638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407217755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1407217755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427839901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.5,
              "providers": [
                {
                  "billed_charge": 27.5,
                  "npi": [
                    1427839901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972692747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1972692747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992824973"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1992824973
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1992824973
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Magnesium test",
      "billing_code_type": "CPT",
      "billing_code": "83735",
      "billing_code_type_version": "2026",
      "description": "Magnesium test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 67.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.8,
              "providers": [
                {
                  "billed_charge": 12.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.45,
              "providers": [
                {
                  "billed_charge": 81.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306825997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1306825997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.15,
              "providers": [
                {
                  "billed_charge": 30.15,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 217.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619957933"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1619957933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1740288471
                  ]
                },
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.45,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.62,
              "providers": [
                {
                  "billed_charge": 42.77,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.77,
              "providers": [
                {
                  "billed_charge": 42.77,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.4,
              "providers": [
                {
                  "billed_charge": 262.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "22",
            "11",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.72,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033601091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1033601091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083184451"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1083184451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.92,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134345705"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 321.08,
                  "npi": [
                    1134345705
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154031441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1154031441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154159341"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1154159341
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.27,
              "providers": [
                {
                  "billed_charge": 175.27,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154636488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1154636488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154942795"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1154942795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174513733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 261.0,
              "providers": [
                {
                  "billed_charge": 265.0,
                  "npi": [
                    1174513733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225192610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1225192610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.76,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245882661"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 260.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1245882661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255372207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1255372207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255408860"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1255408860
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265001234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.96,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1265001234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275827719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.05,
              "providers": [
                {
                  "billed_charge": 206.05,
                  "npi": [
                    1275827719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285827972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1285827972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.29,
              "providers": [
                {
                  "billed_charge": 112.29,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306820063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1306820063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306861596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 133.0,
                  "npi": [
                    1306861596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306993985"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.65,
              "providers": [
                {
                  "billed_charge": 117.65,
                  "npi": [
                    1306993985
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336495258"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1336495258
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356664486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1356664486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386615755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1386615755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427618305"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.8,
              "providers": [
                {
                  "billed_charge": 68.8,
                  "npi": [
                    1427618305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.68,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457303802"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.8,
              "providers": [
                {
                  "billed_charge": 107.8,
                  "npi": [
                    1457303802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467120550"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1467120550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477690329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.4,
              "providers": [
                {
                  "billed_charge": 153.4,
                  "npi": [
                    1477690329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497901458"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.72,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1497901458
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508068594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1508068594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518097906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1518097906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528201845"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.36,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1528201845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568404846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 278.0,
                  "npi": [
                    1568404846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.19,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598940942"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1598940942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619053527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1619053527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619146859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1619146859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619640414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1619640414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639745201"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 458.34,
              "providers": [
                {
                  "billed_charge": 458.34,
                  "npi": [
                    1639745201
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649467119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1649467119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.17,
              "providers": [
                {
                  "billed_charge": 768.0,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699917088"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1699917088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700191335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1700191335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730168311"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.42,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1730168311
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730390295"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1730390295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 323.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750644076"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1750644076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770524696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1770524696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770552127"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1770552127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780973982"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.75,
              "providers": [
                {
                  "billed_charge": 144.75,
                  "npi": [
                    1780973982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801097894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1801097894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801801766"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.94,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1801801766
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.52,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831229491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1831229491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902940042"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.31,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1902940042
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922045186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1922045186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932420395"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.25,
              "providers": [
                {
                  "billed_charge": 146.25,
                  "npi": [
                    1932420395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296298"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.66,
              "providers": [
                {
                  "billed_charge": 84.66,
                  "npi": [
                    1942296298
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.94,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1942296298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942679915"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.9,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1942679915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972631679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.75,
              "providers": [
                {
                  "billed_charge": 144.75,
                  "npi": [
                    1972631679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992096192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1992096192
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Basic metabolic panel (BMP)",
      "billing_code_type": "CPT",
      "billing_code": "80048",
      "billing_code_type_version": "2026",
      "description": "Basic metabolic panel (BMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.6,
              "providers": [
                {
                  "billed_charge": 5.6,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.27,
              "providers": [
                {
                  "billed_charge": 8.27,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.93,
              "providers": [
                {
                  "billed_charge": 19.04,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.04,
              "providers": [
                {
                  "billed_charge": 19.04,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.8,
              "providers": [
                {
                  "billed_charge": 54.8,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.93,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 15.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 56.0,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.32,
              "providers": [
                {
                  "billed_charge": 73.32,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.46,
              "providers": [
                {
                  "billed_charge": 8.46,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hand surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Hand surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023463510"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1023463510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043331978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1043331978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093750176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 215.01,
                  "npi": [
                    1093750176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 335.0,
              "providers": [
                {
                  "billed_charge": 335.0,
                  "npi": [
                    1093750176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114022167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.44,
              "providers": [
                {
                  "billed_charge": 117.65,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144513185"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.41,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1144513185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164461190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1164461190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164862710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1164862710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205243458"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1205243458
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235362278"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1235362278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235573841"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1235573841
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255401519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306923495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.2,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1306923495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316914237"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.22,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1316914237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326476672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1326476672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366443368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 134.05,
                  "npi": [
                    1366443368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376527077"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.56,
              "providers": [
                {
                  "billed_charge": 139.56,
                  "npi": [
                    1376527077
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.4,
              "providers": [
                {
                  "billed_charge": 155.4,
                  "npi": [
                    1376527077
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407411986"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.36,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1407411986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417477852"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1417477852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447020680"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.11,
              "providers": [
                {
                  "billed_charge": 135.72,
                  "npi": [
                    1447020680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457581738"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.74,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1457581738
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487177168"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.49,
              "providers": [
                {
                  "billed_charge": 72.49,
                  "npi": [
                    1487177168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518059906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 135.72,
                  "npi": [
                    1518059906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538756119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538756119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578347068"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1578347068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679089296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.41,
              "providers": [
                {
                  "billed_charge": 178.38,
                  "npi": [
                    1679089296
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.73,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1679089296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679491872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.9,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1679491872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699868265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.15,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1699868265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710752076"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1710752076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730225707"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1730225707
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740215706"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1740215706
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750434452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.18,
              "providers": [
                {
                  "billed_charge": 72.18,
                  "npi": [
                    1750434452
                  ]
                }
              ]
            },
            {
              "allowed_amount": 89.82,
              "providers": [
                {
                  "billed_charge": 89.82,
                  "npi": [
                    1750434452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760498588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1760498588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790733244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.48,
              "providers": [
                {
                  "billed_charge": 102.82,
                  "npi": [
                    1790733244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841477320"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1841477320
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912999897"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1912999897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922046424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1922046424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922392364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.44,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1922392364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942359906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.88,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1942359906
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.99,
              "providers": [
                {
                  "billed_charge": 134.99,
                  "npi": [
                    1942359906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942761325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1942761325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962944991"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1962944991
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Urologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.8,
              "providers": [
                {
                  "billed_charge": 142.8,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154506483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.74,
              "providers": [
                {
                  "billed_charge": 272.4,
                  "npi": [
                    1154506483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 297.94,
              "providers": [
                {
                  "billed_charge": 297.94,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316043110"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1316043110
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346952157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1346952157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386293520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1386293520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811178254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.95,
              "providers": [
                {
                  "billed_charge": 160.95,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902358062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.65,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1902358062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.65,
              "providers": [
                {
                  "billed_charge": 340.5,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Basic metabolic panel (BMP)",
      "billing_code_type": "CPT",
      "billing_code": "80048",
      "billing_code_type_version": "2026",
      "description": "Basic metabolic panel (BMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.71,
              "providers": [
                {
                  "billed_charge": 25.44,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.04,
              "providers": [
                {
                  "billed_charge": 19.04,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.04,
              "providers": [
                {
                  "billed_charge": 19.04,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013052174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.82,
              "providers": [
                {
                  "billed_charge": 25.82,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013258912"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.48,
              "providers": [
                {
                  "billed_charge": 35.48,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            },
            {
              "allowed_amount": 64.51,
              "providers": [
                {
                  "billed_charge": 64.51,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.94,
              "providers": [
                {
                  "billed_charge": 67.94,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023037140"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.13,
              "providers": [
                {
                  "billed_charge": 78.13,
                  "npi": [
                    1023037140
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 176.0,
              "providers": [
                {
                  "billed_charge": 176.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285724039"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.84,
              "providers": [
                {
                  "billed_charge": 28.84,
                  "npi": [
                    1285724039
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.8,
              "providers": [
                {
                  "billed_charge": 54.8,
                  "npi": [
                    1285724039
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336522457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1336522457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1336522457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356339857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.72,
              "providers": [
                {
                  "billed_charge": 14.72,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.12,
              "providers": [
                {
                  "billed_charge": 19.12,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366495897"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.3,
              "providers": [
                {
                  "billed_charge": 28.3,
                  "npi": [
                    1366495897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396781795"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.0,
              "providers": [
                {
                  "billed_charge": 64.0,
                  "npi": [
                    1396781795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.31,
              "providers": [
                {
                  "billed_charge": 48.65,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.65,
              "providers": [
                {
                  "billed_charge": 48.65,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.71,
              "providers": [
                {
                  "billed_charge": 62.71,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 97.29,
              "providers": [
                {
                  "billed_charge": 97.29,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.36,
              "providers": [
                {
                  "billed_charge": 111.36,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.42,
              "providers": [
                {
                  "billed_charge": 125.42,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.93,
              "providers": [
                {
                  "billed_charge": 145.93,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 188.12,
              "providers": [
                {
                  "billed_charge": 188.12,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 208.64,
              "providers": [
                {
                  "billed_charge": 208.64,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.61,
              "providers": [
                {
                  "billed_charge": 14.61,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.73,
              "providers": [
                {
                  "billed_charge": 14.73,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.9,
              "providers": [
                {
                  "billed_charge": 15.9,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.43,
              "providers": [
                {
                  "billed_charge": 16.43,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.44,
              "providers": [
                {
                  "billed_charge": 16.44,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.72,
              "providers": [
                {
                  "billed_charge": 19.72,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.59,
              "providers": [
                {
                  "billed_charge": 20.59,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.12,
              "providers": [
                {
                  "billed_charge": 21.12,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.25,
              "providers": [
                {
                  "billed_charge": 22.25,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.88,
              "providers": [
                {
                  "billed_charge": 22.88,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.5,
              "providers": [
                {
                  "billed_charge": 34.5,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.51,
              "providers": [
                {
                  "billed_charge": 34.51,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259734"
          },
          "service_code": [
            "49",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.3,
              "providers": [
                {
                  "billed_charge": 28.3,
                  "npi": [
                    1447259734
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.31,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1447259734
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1447259734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 64.0,
              "providers": [
                {
                  "billed_charge": 64.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467543090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1467543090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548479967"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.08,
              "providers": [
                {
                  "billed_charge": 24.08,
                  "npi": [
                    1548479967
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558555805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1558555805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609899061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.48,
              "providers": [
                {
                  "billed_charge": 35.48,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.18,
              "providers": [
                {
                  "billed_charge": 42.18,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619060472"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.31,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1619060472
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639175474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1639175474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649762816"
          },
          "service_code": [
            "49"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1649762816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710592639"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1710592639
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790141802"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.58,
              "providers": [
                {
                  "billed_charge": 38.58,
                  "npi": [
                    1790141802
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1790141802
                  ]
                }
              ]
            },
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1790141802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811089147"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.2,
              "providers": [
                {
                  "billed_charge": 12.2,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.71,
              "providers": [
                {
                  "billed_charge": 16.71,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.81,
              "providers": [
                {
                  "billed_charge": 22.81,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.41,
              "providers": [
                {
                  "billed_charge": 56.41,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.44,
              "providers": [
                {
                  "billed_charge": 75.44,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 108.1,
              "providers": [
                {
                  "billed_charge": 108.1,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821085028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821085028
                  ]
                },
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1821085028
                  ]
                },
                {
                  "billed_charge": 315.0,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.85,
              "providers": [
                {
                  "billed_charge": 4.85,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.28,
              "providers": [
                {
                  "billed_charge": 7.28,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851934004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1851934004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.95,
              "providers": [
                {
                  "billed_charge": 12.95,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.09,
              "providers": [
                {
                  "billed_charge": 13.09,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.89,
              "providers": [
                {
                  "billed_charge": 15.89,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.43,
              "providers": [
                {
                  "billed_charge": 16.43,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.44,
              "providers": [
                {
                  "billed_charge": 16.44,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.54,
              "providers": [
                {
                  "billed_charge": 19.54,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.61,
              "providers": [
                {
                  "billed_charge": 19.61,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.1,
              "providers": [
                {
                  "billed_charge": 20.1,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.94,
              "providers": [
                {
                  "billed_charge": 20.94,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.31,
              "providers": [
                {
                  "billed_charge": 21.31,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.94,
              "providers": [
                {
                  "billed_charge": 21.94,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.25,
              "providers": [
                {
                  "billed_charge": 22.25,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.54,
              "providers": [
                {
                  "billed_charge": 22.54,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.55,
              "providers": [
                {
                  "billed_charge": 22.55,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.9,
              "providers": [
                {
                  "billed_charge": 22.9,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.91,
              "providers": [
                {
                  "billed_charge": 22.91,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.95,
              "providers": [
                {
                  "billed_charge": 27.95,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.42,
              "providers": [
                {
                  "billed_charge": 28.42,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.53,
              "providers": [
                {
                  "billed_charge": 29.53,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.54,
              "providers": [
                {
                  "billed_charge": 35.54,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.09,
              "providers": [
                {
                  "billed_charge": 39.09,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.31,
              "providers": [
                {
                  "billed_charge": 47.38,
                  "npi": [
                    1902149990
                  ]
                },
                {
                  "billed_charge": 67.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992991574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.98,
              "providers": [
                {
                  "billed_charge": 84.98,
                  "npi": [
                    1992991574
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003095563"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 332.05,
              "providers": [
                {
                  "billed_charge": 332.05,
                  "npi": [
                    1003095563
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003860917"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.25,
              "providers": [
                {
                  "billed_charge": 224.25,
                  "npi": [
                    1003860917
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013030881"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 182.4,
              "providers": [
                {
                  "billed_charge": 182.4,
                  "npi": [
                    1013030881
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023451754"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1023451754
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033118104"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1033118104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033244645"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1033244645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043311715"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.04,
              "providers": [
                {
                  "billed_charge": 267.5,
                  "npi": [
                    1043311715
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.95,
              "providers": [
                {
                  "billed_charge": 147.95,
                  "npi": [
                    1043311715
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043667660"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1043667660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053316596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.0,
              "providers": [
                {
                  "billed_charge": 123.0,
                  "npi": [
                    1053316596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083405211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.73,
              "providers": [
                {
                  "billed_charge": 62.73,
                  "npi": [
                    1083405211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083737688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1083737688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093119893"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 275.1,
                  "npi": [
                    1093119893
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104356013"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1104356013
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124102595"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.73,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1124102595
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144454703"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.48,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1144454703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144931908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1144931908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.71,
              "providers": [
                {
                  "billed_charge": 254.69,
                  "npi": [
                    1154377281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154994846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1154994846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164216099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1164216099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194773317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194790055"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.85,
              "providers": [
                {
                  "billed_charge": 142.85,
                  "npi": [
                    1194790055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205838075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 284.73,
              "providers": [
                {
                  "billed_charge": 286.73,
                  "npi": [
                    1205838075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215780499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1215780499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275982274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.0,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1275982274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285424879"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1285424879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285664268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 253.0,
                  "npi": [
                    1285664268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306838495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 273.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1306838495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306873062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306873062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316285091"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1316285091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346957107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1346957107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356514376"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.88,
              "providers": [
                {
                  "billed_charge": 95.88,
                  "npi": [
                    1356514376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386880417"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.58,
              "providers": [
                {
                  "billed_charge": 125.58,
                  "npi": [
                    1386880417
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417975392"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 247.6,
              "providers": [
                {
                  "billed_charge": 247.6,
                  "npi": [
                    1417975392
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.68,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437901238"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1437901238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447613245"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1447613245
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457308173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1457308173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477891810"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1477891810
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477970317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1477970317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497773758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.78,
              "providers": [
                {
                  "billed_charge": 135.78,
                  "npi": [
                    1497773758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508452905"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1508452905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508819582"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.27,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1508819582
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1528060399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568464931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.08,
              "providers": [
                {
                  "billed_charge": 135.12,
                  "npi": [
                    1568464931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578504536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 460.0,
                  "npi": [
                    1578504536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578522959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1578522959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588461586"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 375.0,
              "providers": [
                {
                  "billed_charge": 375.0,
                  "npi": [
                    1588461586
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588656870"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.42,
              "providers": [
                {
                  "billed_charge": 275.1,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            },
            {
              "allowed_amount": 170.49,
              "providers": [
                {
                  "billed_charge": 275.1,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598205072"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1598205072
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609046911"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1609046911
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629687769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1629687769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659078426"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 375.0,
              "providers": [
                {
                  "billed_charge": 375.0,
                  "npi": [
                    1659078426
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689952301"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1689952301
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699414029"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1699414029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700503182"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1700503182
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740818319"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.63,
              "providers": [
                {
                  "billed_charge": 69.4,
                  "npi": [
                    1740818319
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750001657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1750001657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760779292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1760779292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760854442"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1760854442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770340457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1770340457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790188910"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.0,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1790188910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801110424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.04,
              "providers": [
                {
                  "billed_charge": 88.04,
                  "npi": [
                    1801110424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821586645"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1821586645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831147982"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1831147982
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1831147982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861075517"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1861075517
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902216427"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1902216427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922397553"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.1,
              "providers": [
                {
                  "billed_charge": 135.1,
                  "npi": [
                    1922397553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922574854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.37,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1922574854
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952524126"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1952524126
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952861262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.71,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1952861262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962606657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.98,
              "providers": [
                {
                  "billed_charge": 114.98,
                  "npi": [
                    1962606657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972138238"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972266732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972266732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992703540"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.15,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1992703540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992812333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 380.25,
              "providers": [
                {
                  "billed_charge": 380.25,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023013133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.55,
              "providers": [
                {
                  "billed_charge": 17.55,
                  "npi": [
                    1023013133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164655981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.69,
              "providers": [
                {
                  "billed_charge": 19.02,
                  "npi": [
                    1164655981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.62,
              "providers": [
                {
                  "billed_charge": 12.62,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.08,
              "providers": [
                {
                  "billed_charge": 14.3,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 15.46,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 29.13,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598747651"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1598747651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619038247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 55.13,
                  "npi": [
                    1619038247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679820534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 35.6,
                  "npi": [
                    1679820534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 19.42,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740549450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1740549450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891065785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.64,
              "providers": [
                {
                  "billed_charge": 2.64,
                  "npi": [
                    1891065785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.7,
              "providers": [
                {
                  "billed_charge": 26.7,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912007931"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1912007931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912232794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 69.6,
                  "npi": [
                    1912232794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982728036"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 35.6,
                  "npi": [
                    1982728036
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124078696"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124078696
                  ]
                },
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1124078696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.93,
              "providers": [
                {
                  "billed_charge": 47.93,
                  "npi": [
                    1124078696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184638942"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1184638942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.27,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.99,
              "providers": [
                {
                  "billed_charge": 6.99,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 52.8,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.04,
              "providers": [
                {
                  "billed_charge": 59.04,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699705681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.48,
              "providers": [
                {
                  "billed_charge": 17.48,
                  "npi": [
                    1699705681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710916945"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1710916945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Critical care provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99291",
      "billing_code_type_version": "2026",
      "description": "Critical care provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1366193716"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 316.87,
              "providers": [
                {
                  "billed_charge": 1440.75,
                  "npi": [
                    1366193716
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720034051"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 316.87,
              "providers": [
                {
                  "billed_charge": 316.87,
                  "npi": [
                    1720034051
                  ]
                },
                {
                  "billed_charge": 416.0,
                  "npi": [
                    1720034051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841299039"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 315.24,
              "providers": [
                {
                  "billed_charge": 315.24,
                  "npi": [
                    1841299039
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861439952"
          },
          "service_code": [
            "21",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 316.87,
              "providers": [
                {
                  "billed_charge": 316.87,
                  "npi": [
                    1861439952
                  ]
                },
                {
                  "billed_charge": 1440.75,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962712828"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 316.87,
              "providers": [
                {
                  "billed_charge": 316.87,
                  "npi": [
                    1962712828
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90832",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033070453"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1033070453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093226169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.17,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1093226169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093713844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1093713844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124345152"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.17,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1124345152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154541118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.17,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1154541118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194328237"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.17,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1194328237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295320786"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1295320786
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396250338"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.17,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1396250338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720400070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1720400070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750966982"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1750966982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952177644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1952177644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962638155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1962638155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972140044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.17,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.17,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99215",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 368.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.2,
              "providers": [
                {
                  "billed_charge": 147.2,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 216.06,
              "providers": [
                {
                  "billed_charge": 216.06,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033709100"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 315.74,
              "providers": [
                {
                  "billed_charge": 435.0,
                  "npi": [
                    1033709100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 235.18,
              "providers": [
                {
                  "billed_charge": 235.18,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 269.0,
              "providers": [
                {
                  "billed_charge": 269.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 269.0,
              "providers": [
                {
                  "billed_charge": 269.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 365.6,
              "providers": [
                {
                  "billed_charge": 365.6,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 216.06,
              "providers": [
                {
                  "billed_charge": 216.06,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 276.68,
              "providers": [
                {
                  "billed_charge": 276.68,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306945084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.34,
              "providers": [
                {
                  "billed_charge": 191.34,
                  "npi": [
                    1306945084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.19,
              "providers": [
                {
                  "billed_charge": 185.19,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.67,
              "providers": [
                {
                  "billed_charge": 200.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 276.68,
              "providers": [
                {
                  "billed_charge": 276.68,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 582.01,
              "providers": [
                {
                  "billed_charge": 582.01,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568495299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.63,
              "providers": [
                {
                  "billed_charge": 368.0,
                  "npi": [
                    1568495299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 246.92,
              "providers": [
                {
                  "billed_charge": 246.92,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 269.0,
              "providers": [
                {
                  "billed_charge": 269.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881626265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 368.0,
                  "npi": [
                    1881626265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912074048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1912074048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.63,
              "providers": [
                {
                  "billed_charge": 313.57,
                  "npi": [
                    1942296033
                  ]
                },
                {
                  "billed_charge": 368.9,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972362002"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1972362002
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.63,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 254.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 101.6,
              "providers": [
                {
                  "billed_charge": 101.6,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033709100"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 383.04,
              "providers": [
                {
                  "billed_charge": 383.04,
                  "npi": [
                    1033709100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.44,
              "providers": [
                {
                  "billed_charge": 143.44,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 208.13,
              "providers": [
                {
                  "billed_charge": 208.13,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 176.91,
              "providers": [
                {
                  "billed_charge": 176.91,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 208.13,
              "providers": [
                {
                  "billed_charge": 208.13,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083027346"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.0,
              "providers": [
                {
                  "billed_charge": 59.0,
                  "npi": [
                    1083027346
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104082957"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1104082957
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114480134"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1114480134
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114731726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1114731726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114920378"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1114920378
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 222.4,
              "providers": [
                {
                  "billed_charge": 222.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164730404"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1164730404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174602908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 182.0,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1174602908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174948491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174948491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194768168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1194768168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.88,
              "providers": [
                {
                  "billed_charge": 196.88,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255569414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.84,
              "providers": [
                {
                  "billed_charge": 251.97,
                  "npi": [
                    1255569414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255624722"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1255624722
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255684684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.0,
              "providers": [
                {
                  "billed_charge": 57.0,
                  "npi": [
                    1255684684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306945084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.4,
              "providers": [
                {
                  "billed_charge": 134.4,
                  "npi": [
                    1306945084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.3,
              "providers": [
                {
                  "billed_charge": 144.3,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356033674"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.85,
              "providers": [
                {
                  "billed_charge": 161.85,
                  "npi": [
                    1356033674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            },
            {
              "allowed_amount": 176.91,
              "providers": [
                {
                  "billed_charge": 176.91,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407257074"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 254.0,
              "providers": [
                {
                  "billed_charge": 254.0,
                  "npi": [
                    1407257074
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.63,
              "providers": [
                {
                  "billed_charge": 105.63,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.37,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427425537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.58,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1427425537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437677663"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1437677663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487973996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 305.2,
                  "npi": [
                    1487973996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.85,
              "providers": [
                {
                  "billed_charge": 122.85,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588390942"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.4,
              "providers": [
                {
                  "billed_charge": 149.4,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588825772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1588825772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598005753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1598005753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609247949"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1609247949
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639135643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            },
            {
              "allowed_amount": 182.0,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639172661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 222.4,
              "providers": [
                {
                  "billed_charge": 222.4,
                  "npi": [
                    1639172661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679861728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1679861728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700842796"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1700842796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700897113"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.7,
              "providers": [
                {
                  "billed_charge": 157.7,
                  "npi": [
                    1700897113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811726292"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1811726292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861520173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1861520173
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1861520173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.46,
              "providers": [
                {
                  "billed_charge": 114.46,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.84,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.32,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063441491"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 70.5,
                  "npi": [
                    1063441491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 126.64,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.51,
              "providers": [
                {
                  "billed_charge": 116.51,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720018971"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1720018971
                  ]
                },
                {
                  "billed_charge": 57.93,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.39,
              "providers": [
                {
                  "billed_charge": 49.39,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780625228"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 57.85,
                  "npi": [
                    1780625228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.04,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245506963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1245506963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275153330"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1275153330
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538999719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 241.67,
              "providers": [
                {
                  "billed_charge": 241.67,
                  "npi": [
                    1538999719
                  ]
                }
              ]
            },
            {
              "allowed_amount": 390.0,
              "providers": [
                {
                  "billed_charge": 390.0,
                  "npi": [
                    1538999719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811016413"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.87,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1811016413
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831945484"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1831945484
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902635667"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1902635667
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982359055"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1982359055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.87,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053203232"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1053203232
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053422584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1053422584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093193476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1093193476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164571337"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.31,
              "providers": [
                {
                  "billed_charge": 26.31,
                  "npi": [
                    1164571337
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1164571337
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215357702"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.2,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1215357702
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1215357702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316397193"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1316397193
                  ]
                }
              ]
            },
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1316397193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326463993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1326463993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376660092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1376660092
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1376660092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396886586"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1396886586
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467216044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.94,
              "providers": [
                {
                  "billed_charge": 29.94,
                  "npi": [
                    1467216044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548151954"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 56.14,
                  "npi": [
                    1548151954
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548565088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1548565088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1548565088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1548565088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609486521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1609486521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639315906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.13,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1639315906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649448622"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1649448622
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659478287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1659478287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710968052"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1710968052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750383196"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1750383196
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750512836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.2,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1750512836
                  ]
                },
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1750512836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760981690"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1760981690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821076621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1821076621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821622440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1821622440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1821622440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861611063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1861611063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942395660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.34,
              "providers": [
                {
                  "billed_charge": 46.34,
                  "npi": [
                    1942395660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992289250"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1992289250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.24,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    9999999999
                  ]
                },
                {
                  "billed_charge": 60.0,
                  "npi": [
                    9999999999
                  ]
                },
                {
                  "billed_charge": 70.0,
                  "npi": [
                    9999999999
                  ]
                },
                {
                  "billed_charge": 100.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053914150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1053914150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083073761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1083073761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083944656"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1083944656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134508260"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1134508260
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 180.5,
                  "npi": [
                    1134508260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174047658"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 192.78,
                  "npi": [
                    1174047658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174576680"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1174576680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194773317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 163.52,
                  "npi": [
                    1194773317
                  ]
                },
                {
                  "billed_charge": 327.04,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194966838"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1194966838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245757236"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1245757236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265503536"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1265503536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306407887"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306407887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336768688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336768688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417800293"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1417800293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508191578"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1508191578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528447414"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1528447414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558071027"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588179550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1588179550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619959822"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.25,
              "providers": [
                {
                  "billed_charge": 81.25,
                  "npi": [
                    1619959822
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629830146"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1629830146
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 269.1,
              "providers": [
                {
                  "billed_charge": 269.1,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 327.04,
              "providers": [
                {
                  "billed_charge": 327.04,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760854442"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1760854442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891305801"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1891305801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952177644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1952177644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952636193"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.9,
              "providers": [
                {
                  "billed_charge": 144.9,
                  "npi": [
                    1952636193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982834974"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1982834974
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to identify bacteria in culture",
      "billing_code_type": "CPT",
      "billing_code": "87086",
      "billing_code_type_version": "2026",
      "description": "Lab fee to identify bacteria in culture",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.6,
              "providers": [
                {
                  "billed_charge": 17.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.16,
              "providers": [
                {
                  "billed_charge": 18.16,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.16,
              "providers": [
                {
                  "billed_charge": 18.16,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.38,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.38,
              "providers": [
                {
                  "billed_charge": 35.72,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.11,
              "providers": [
                {
                  "billed_charge": 12.11,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ophthalmologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Ophthalmologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013129394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1013129394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013959873"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013959873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033108592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1033108592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134785389"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.94,
              "providers": [
                {
                  "billed_charge": 186.0,
                  "npi": [
                    1134785389
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205692498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.6,
              "providers": [
                {
                  "billed_charge": 145.6,
                  "npi": [
                    1205692498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265689111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 362.0,
                  "npi": [
                    1265689111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295736064"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.98,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1295736064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376622027"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1376622027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417022682"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1417022682
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427719699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.6,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1427719699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447246475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.63,
              "providers": [
                {
                  "billed_charge": 134.63,
                  "npi": [
                    1447246475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467636399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.38,
              "providers": [
                {
                  "billed_charge": 171.38,
                  "npi": [
                    1467636399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497784144"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.09,
              "providers": [
                {
                  "billed_charge": 91.09,
                  "npi": [
                    1497784144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538266739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1538266739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619915170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1619915170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649250747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 323.0,
              "providers": [
                {
                  "billed_charge": 323.0,
                  "npi": [
                    1649250747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659769446"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.31,
              "providers": [
                {
                  "billed_charge": 43.31,
                  "npi": [
                    1659769446
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.32,
              "providers": [
                {
                  "billed_charge": 43.32,
                  "npi": [
                    1659769446
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689822827"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1689822827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750990438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.47,
              "providers": [
                {
                  "billed_charge": 77.47,
                  "npi": [
                    1750990438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790020733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.58,
                  "npi": [
                    1790020733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841328853"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 247.0,
                  "npi": [
                    1841328853
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982633236"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.98,
              "providers": [
                {
                  "billed_charge": 362.0,
                  "npi": [
                    1982633236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992889851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.0,
              "providers": [
                {
                  "billed_charge": 181.0,
                  "npi": [
                    1992889851
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003908930"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1003908930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013525815"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1013525815
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 333.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053485607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.75,
              "providers": [
                {
                  "billed_charge": 135.75,
                  "npi": [
                    1053485607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.88,
              "providers": [
                {
                  "billed_charge": 153.88,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.39,
              "providers": [
                {
                  "billed_charge": 112.29,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.52,
              "providers": [
                {
                  "billed_charge": 175.27,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.27,
              "providers": [
                {
                  "billed_charge": 175.27,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235422403"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 213.46,
                  "npi": [
                    1235422403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11",
            "22",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.45,
              "providers": [
                {
                  "billed_charge": 116.45,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 170.9,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 171.96,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.45,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.76,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356514368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1356514368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.77,
              "providers": [
                {
                  "billed_charge": 124.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588893515"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1588893515
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619947272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1619947272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689769572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.76,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1689769572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.07,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 232.19,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.5,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831274901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1831274901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831661073"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1831661073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891052163"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.37,
              "providers": [
                {
                  "billed_charge": 79.37,
                  "npi": [
                    1891052163
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902048200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1902048200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912099839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1912099839
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1912099839
                  ]
                }
              ]
            },
            {
              "allowed_amount": 202.5,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1912099839
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952300550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1952300550
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.0,
              "providers": [
                {
                  "billed_charge": 104.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114283058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1114283058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124118062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124118062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194062448"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1194062448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380444"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.57,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1558380444
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568460772"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 297.5,
              "providers": [
                {
                  "billed_charge": 297.5,
                  "npi": [
                    1568460772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.78,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871589192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1871589192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982606992"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1982606992
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physician assistant (or Alternative medicine practitioner) visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Physician assistant (or Alternative medicine practitioner) visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013220805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1013220805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063958700"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1063958700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083367452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.0,
              "providers": [
                {
                  "billed_charge": 102.0,
                  "npi": [
                    1083367452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174637540"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1174637540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475458"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.79,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1245475458
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.68,
              "providers": [
                {
                  "billed_charge": 101.68,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265001234"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1265001234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265156350"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1265156350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295857423"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1295857423
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316767874"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.37,
              "providers": [
                {
                  "billed_charge": 123.37,
                  "npi": [
                    1316767874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316904014"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1316904014
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356894745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1356894745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366248908"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1366248908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417992710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1417992710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487845020"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.9,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1487845020
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.04,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1487845020
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497784144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1497784144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578745568"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1578745568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609189604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1609189604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609755701"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.55,
              "providers": [
                {
                  "billed_charge": 325.13,
                  "npi": [
                    1609755701
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.68,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679186241"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.17,
              "providers": [
                {
                  "billed_charge": 66.17,
                  "npi": [
                    1679186241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.2,
              "providers": [
                {
                  "billed_charge": 499.2,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            },
            {
              "allowed_amount": 243.07,
              "providers": [
                {
                  "billed_charge": 499.2,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689973638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1689973638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750179321"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.15,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1750179321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780803759"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1780803759
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841517604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1841517604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851340822"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1851340822
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.04,
              "providers": [
                {
                  "billed_charge": 136.04,
                  "npi": [
                    1851340822
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851870661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.7,
              "providers": [
                {
                  "billed_charge": 161.7,
                  "npi": [
                    1851870661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871866384"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.0,
              "providers": [
                {
                  "billed_charge": 102.0,
                  "npi": [
                    1871866384
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922212760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1922212760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952853483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.48,
              "providers": [
                {
                  "billed_charge": 130.48,
                  "npi": [
                    1952853483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952914285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.2,
              "providers": [
                {
                  "billed_charge": 119.2,
                  "npi": [
                    1952914285
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144286402"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1144286402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.41,
              "providers": [
                {
                  "billed_charge": 20.41,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447296272"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1447296272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 34.73,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720018971"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.82,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.69,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Cardiologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Cardiologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003304478"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1003304478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013335827"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1013335827
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1013335827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023857489"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1023857489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033144357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 211.0,
              "providers": [
                {
                  "billed_charge": 211.0,
                  "npi": [
                    1033144357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.77,
              "providers": [
                {
                  "billed_charge": 127.84,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053527747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1053527747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053954867"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1053954867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083405211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1083405211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083610521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1083610521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093844292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1093844292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104084672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1104084672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104262591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.37,
              "providers": [
                {
                  "billed_charge": 101.37,
                  "npi": [
                    1104262591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104364173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.59,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1104364173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114053782"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 283.75,
                  "npi": [
                    1114053782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134702954"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 227.53,
              "providers": [
                {
                  "billed_charge": 227.53,
                  "npi": [
                    1134702954
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144193079"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1144193079
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144570011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.19,
              "providers": [
                {
                  "billed_charge": 104.19,
                  "npi": [
                    1144570011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154447043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 112.43,
                  "npi": [
                    1154447043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164679668"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1164679668
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174782700"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.38,
              "providers": [
                {
                  "billed_charge": 186.38,
                  "npi": [
                    1174782700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174884225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.5,
              "providers": [
                {
                  "billed_charge": 110.5,
                  "npi": [
                    1174884225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174931448"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1174931448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205957131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1205957131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245473271"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1245473271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245827476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.59,
              "providers": [
                {
                  "billed_charge": 50.59,
                  "npi": [
                    1245827476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245879477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245879477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255624722"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1255624722
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285664268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1285664268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285689976"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.85,
              "providers": [
                {
                  "billed_charge": 97.85,
                  "npi": [
                    1285689976
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316089022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.0,
              "providers": [
                {
                  "billed_charge": 133.6,
                  "npi": [
                    1316089022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316350804"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1316350804
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316607070"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1316607070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326213562"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.55,
              "providers": [
                {
                  "billed_charge": 110.55,
                  "npi": [
                    1326213562
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346284627"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1346284627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346561677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.08,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1346561677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346573540"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1346573540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396035580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 469.0,
              "providers": [
                {
                  "billed_charge": 500.0,
                  "npi": [
                    1396035580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396107629"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.75,
              "providers": [
                {
                  "billed_charge": 150.75,
                  "npi": [
                    1396107629
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407227945"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1407227945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417577453"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 350.0,
              "providers": [
                {
                  "billed_charge": 390.0,
                  "npi": [
                    1417577453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437554847"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.38,
              "providers": [
                {
                  "billed_charge": 137.38,
                  "npi": [
                    1437554847
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447358486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1447358486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447953427"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.59,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1447953427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457586612"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.0,
              "providers": [
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1457586612
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477014744"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.79,
              "providers": [
                {
                  "billed_charge": 106.79,
                  "npi": [
                    1477014744
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1477014744
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477531580"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 304.0,
                  "npi": [
                    1477531580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477970317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1477970317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487276499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.7,
              "providers": [
                {
                  "billed_charge": 154.7,
                  "npi": [
                    1487276499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518256650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1518256650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528808193"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1528808193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538400890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1538400890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578910428"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.33,
              "providers": [
                {
                  "billed_charge": 250.33,
                  "npi": [
                    1578910428
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588656870"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.37,
              "providers": [
                {
                  "billed_charge": 189.26,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639217011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1639217011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649036864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1649036864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659132074"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1659132074
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659810455"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.73,
                  "npi": [
                    1659810455
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.64,
              "providers": [
                {
                  "billed_charge": 190.73,
                  "npi": [
                    1659810455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689729550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1689729550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699091314"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.57,
              "providers": [
                {
                  "billed_charge": 146.57,
                  "npi": [
                    1699091314
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710652060"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1710652060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710730361"
          },
          "service_code": [
            "50",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.25,
              "providers": [
                {
                  "billed_charge": 61.25,
                  "npi": [
                    1710730361
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740169820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.21,
              "providers": [
                {
                  "billed_charge": 111.21,
                  "npi": [
                    1740169820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740362516"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740362516
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750609970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1750609970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760454037"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1760454037
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780957852"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.77,
              "providers": [
                {
                  "billed_charge": 80.77,
                  "npi": [
                    1780957852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801028600"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1801028600
                  ]
                }
              ]
            },
            {
              "allowed_amount": 186.0,
              "providers": [
                {
                  "billed_charge": 186.0,
                  "npi": [
                    1801028600
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851016760"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 265.0,
              "providers": [
                {
                  "billed_charge": 265.0,
                  "npi": [
                    1851016760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851938997"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1851938997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871543215"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 682.0,
                  "npi": [
                    1871543215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881010106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.51,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1881010106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891755732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.5,
              "providers": [
                {
                  "billed_charge": 149.5,
                  "npi": [
                    1891755732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902376973"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1902376973
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922411537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1922411537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922574854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.56,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1922574854
                  ]
                }
              ]
            },
            {
              "allowed_amount": 114.16,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1922574854
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932633625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.48,
              "providers": [
                {
                  "billed_charge": 68.48,
                  "npi": [
                    1932633625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942636519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1942636519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952861262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1952861262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962902650"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1962902650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962923433"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.25,
              "providers": [
                {
                  "billed_charge": 123.25,
                  "npi": [
                    1962923433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972892388"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.42,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972892388
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982621751"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1982621751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982984779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1982984779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.27,
              "providers": [
                {
                  "billed_charge": 220.27,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nurse visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Nurse visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144724261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1144724261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154563120"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.8,
              "providers": [
                {
                  "billed_charge": 134.8,
                  "npi": [
                    1154563120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194233965"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1194233965
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225034234"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1225034234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245403567"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1245403567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326719055"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.23,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1326719055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356335145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1356335145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356513964"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1356513964
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.8,
              "providers": [
                {
                  "billed_charge": 100.8,
                  "npi": [
                    1356513964
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.39,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1356513964
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1356513964
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427095231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1427095231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508387200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1508387200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528588878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1528588878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558409730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.21,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1558409730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578900155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1578900155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578917340"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1578917340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710590716"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1710590716
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720034630"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.5,
              "providers": [
                {
                  "billed_charge": 110.5,
                  "npi": [
                    1720034630
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740201995"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1740201995
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750058962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.65,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1750058962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780153734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1780153734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780988816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1780988816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811130339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1811130339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851691570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1851691570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912246406"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.7,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1912246406
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912255241"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1912255241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922280700"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1922280700
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure free thyroxine",
      "billing_code_type": "CPT",
      "billing_code": "84439",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure free thyroxine",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            },
            {
              "allowed_amount": 73.0,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194062448"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1194062448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871589192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1871589192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for stomach x-ray",
      "billing_code_type": "CPT",
      "billing_code": "74018",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for stomach x-ray",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.46,
              "providers": [
                {
                  "billed_charge": 19.46,
                  "npi": [
                    1134152986
                  ]
                },
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nurse visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Nurse visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043641897"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1043641897
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1043641897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093257859"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.15,
              "providers": [
                {
                  "billed_charge": 11.15,
                  "npi": [
                    1093257859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154636066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.8,
              "providers": [
                {
                  "billed_charge": 61.8,
                  "npi": [
                    1154636066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255089454"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1255089454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285847855"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1285847855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326562661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1326562661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346338142"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1346338142
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417257601"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.86,
              "providers": [
                {
                  "billed_charge": 241.12,
                  "npi": [
                    1417257601
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588925457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 401.0,
                  "npi": [
                    1588925457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710746037"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.15,
                  "npi": [
                    1710746037
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740397728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1740397728
                  ]
                }
              ]
            },
            {
              "allowed_amount": 131.1,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1740397728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770297087"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1770297087
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.4,
              "providers": [
                {
                  "billed_charge": 188.4,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831150242"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1831150242
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861587321"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1861587321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922387141"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1922387141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932175783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 186.94,
              "providers": [
                {
                  "billed_charge": 201.6,
                  "npi": [
                    1932175783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99212",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073013603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1073013603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.02,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.64,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205025491"
          },
          "service_code": [
            "12",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1205025491
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1205025491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.45,
              "providers": [
                {
                  "billed_charge": 15.45,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.8,
              "providers": [
                {
                  "billed_charge": 22.8,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295772143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.63,
              "providers": [
                {
                  "billed_charge": 90.63,
                  "npi": [
                    1295772143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376690438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1376690438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396753125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1396753125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.63,
              "providers": [
                {
                  "billed_charge": 6.63,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 327.35,
              "providers": [
                {
                  "billed_charge": 327.35,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518921352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1518921352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 221.55,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            },
            {
              "allowed_amount": 89.64,
              "providers": [
                {
                  "billed_charge": 221.55,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588794200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1588794200
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1588794200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740398890"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.74,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1740398890
                  ]
                }
              ]
            },
            {
              "allowed_amount": 88.74,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1740398890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750330551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1750330551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780994970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.46,
              "providers": [
                {
                  "billed_charge": 73.46,
                  "npi": [
                    1780994970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821602640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1821602640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851143192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.0,
              "providers": [
                {
                  "billed_charge": 57.0,
                  "npi": [
                    1851143192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932627353"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1932627353
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for subsequent inpatient hospital critical care of newborn (per day)",
      "billing_code_type": "CPT",
      "billing_code": "99469",
      "billing_code_type_version": "2026",
      "description": "Provider fee for subsequent inpatient hospital critical care of newborn (per day)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 1572.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 580.0,
              "providers": [
                {
                  "billed_charge": 580.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 786.0,
              "providers": [
                {
                  "billed_charge": 786.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 857.57,
              "providers": [
                {
                  "billed_charge": 857.57,
                  "npi": [
                    1134152986
                  ]
                },
                {
                  "billed_charge": 1572.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urgent care center visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Urgent care center visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.4,
              "providers": [
                {
                  "billed_charge": 88.4,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.83,
              "providers": [
                {
                  "billed_charge": 151.88,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.66,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.36,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245446418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.97,
              "providers": [
                {
                  "billed_charge": 90.97,
                  "npi": [
                    1245446418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457589079"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1457589079
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467583203"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1467583203
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.92,
              "providers": [
                {
                  "billed_charge": 81.92,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669530846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1669530846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669978029"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1669978029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699970335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1699970335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730183286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1730183286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780299560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.81,
              "providers": [
                {
                  "billed_charge": 121.81,
                  "npi": [
                    1780299560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780783670"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1780783670
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            },
            {
              "allowed_amount": 182.75,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912090135"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1912090135
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932397288"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1932397288
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992216394"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1992216394
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1992216394
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for testosterone test",
      "billing_code_type": "CPT",
      "billing_code": "84403",
      "billing_code_type_version": "2026",
      "description": "Lab fee for testosterone test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.8,
              "providers": [
                {
                  "billed_charge": 44.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255307732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.98,
              "providers": [
                {
                  "billed_charge": 27.98,
                  "npi": [
                    1255307732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.39,
              "providers": [
                {
                  "billed_charge": 36.39,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.07,
              "providers": [
                {
                  "billed_charge": 58.07,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.07,
              "providers": [
                {
                  "billed_charge": 58.07,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.39,
              "providers": [
                {
                  "billed_charge": 50.05,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urinalysis",
      "billing_code_type": "CPT",
      "billing_code": "81001",
      "billing_code_type_version": "2026",
      "description": "Urinalysis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.76,
              "providers": [
                {
                  "billed_charge": 4.76,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.2,
              "providers": [
                {
                  "billed_charge": 7.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.13,
              "providers": [
                {
                  "billed_charge": 7.13,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.13,
              "providers": [
                {
                  "billed_charge": 7.13,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.47,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "22",
            "21",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 4.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.47,
              "providers": [
                {
                  "billed_charge": 4.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ophthalmologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Ophthalmologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003601220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1003601220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013547835"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1013547835
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033134390"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1033134390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033312111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1033312111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104392679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.28,
              "providers": [
                {
                  "billed_charge": 34.28,
                  "npi": [
                    1104392679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124341649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.3,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1124341649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134332802"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.59,
              "providers": [
                {
                  "billed_charge": 154.59,
                  "npi": [
                    1134332802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134709587"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.11,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1134709587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.52,
              "providers": [
                {
                  "billed_charge": 175.27,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.27,
              "providers": [
                {
                  "billed_charge": 175.27,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174166680"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1174166680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205384161"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.92,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1205384161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225292865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1225292865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235007816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1235007816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.11,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245257088"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.85,
              "providers": [
                {
                  "billed_charge": 124.7,
                  "npi": [
                    1245257088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 93.52,
              "providers": [
                {
                  "billed_charge": 131.6,
                  "npi": [
                    1245257088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285701102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.97,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1285701102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285745364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.6,
              "providers": [
                {
                  "billed_charge": 131.6,
                  "npi": [
                    1285745364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295831675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1295831675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295955789"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1295955789
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306495718"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.28,
              "providers": [
                {
                  "billed_charge": 120.28,
                  "npi": [
                    1306495718
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316063993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 86.78,
              "providers": [
                {
                  "billed_charge": 86.78,
                  "npi": [
                    1316063993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326097288"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.42,
              "providers": [
                {
                  "billed_charge": 245.5,
                  "npi": [
                    1326097288
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 93.2,
              "providers": [
                {
                  "billed_charge": 113.13,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.51,
              "providers": [
                {
                  "billed_charge": 113.13,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356481584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1356481584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376595728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1376595728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396792347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 275.69,
                  "npi": [
                    1396792347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417016973"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.39,
              "providers": [
                {
                  "billed_charge": 132.39,
                  "npi": [
                    1417016973
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427068634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1427068634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1427068634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447234190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1447234190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457695413"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.04,
              "providers": [
                {
                  "billed_charge": 204.0,
                  "npi": [
                    1457695413
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.04,
              "providers": [
                {
                  "billed_charge": 204.0,
                  "npi": [
                    1457695413
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518589803"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1518589803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578537825"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1578537825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578805677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1578805677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598719817"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 148.8,
                  "npi": [
                    1598719817
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700387537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1700387537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.07,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.99,
              "providers": [
                {
                  "billed_charge": 323.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801241237"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.25,
              "providers": [
                {
                  "billed_charge": 131.25,
                  "npi": [
                    1801241237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811939887"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.2,
              "providers": [
                {
                  "billed_charge": 77.2,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.47,
              "providers": [
                {
                  "billed_charge": 100.47,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831167097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1831167097
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.89,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1831167097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841550696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.4,
              "providers": [
                {
                  "billed_charge": 134.4,
                  "npi": [
                    1841550696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871524082"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 144.75,
                  "npi": [
                    1871524082
                  ]
                }
              ]
            },
            {
              "allowed_amount": 152.75,
              "providers": [
                {
                  "billed_charge": 152.75,
                  "npi": [
                    1871524082
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891065785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1891065785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891419842"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1891419842
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942321609"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.04,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1942321609
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992705669"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1992705669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992752117"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.88,
              "providers": [
                {
                  "billed_charge": 227.0,
                  "npi": [
                    1992752117
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245865625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.62,
              "providers": [
                {
                  "billed_charge": 17.62,
                  "npi": [
                    1245865625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336621903"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1336621903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437584745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.54,
              "providers": [
                {
                  "billed_charge": 43.54,
                  "npi": [
                    1437584745
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1437584745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487241972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.28,
              "providers": [
                {
                  "billed_charge": 17.28,
                  "npi": [
                    1487241972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720346224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.33,
              "providers": [
                {
                  "billed_charge": 21.33,
                  "npi": [
                    1720346224
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.54,
              "providers": [
                {
                  "billed_charge": 43.54,
                  "npi": [
                    1720346224
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023037140"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1023037140
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.4,
              "providers": [
                {
                  "billed_charge": 116.4,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285173195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407880909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1407880909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609022755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1609022755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669610986"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1669610986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679723894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1679723894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922383322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1922383322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942245154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.2,
              "providers": [
                {
                  "billed_charge": 52.2,
                  "npi": [
                    1942245154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962501627"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1962501627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992788210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1992788210
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.4,
              "providers": [
                {
                  "billed_charge": 67.4,
                  "npi": [
                    1992788210
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.4,
              "providers": [
                {
                  "billed_charge": 107.4,
                  "npi": [
                    1992788210
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023558533"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.68,
              "providers": [
                {
                  "billed_charge": 195.42,
                  "npi": [
                    1023558533
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.15,
              "providers": [
                {
                  "billed_charge": 203.15,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366497380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 391.2,
                  "npi": [
                    1366497380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396148235"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1396148235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.77,
              "providers": [
                {
                  "billed_charge": 124.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518333749"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 210.58,
                  "npi": [
                    1518333749
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689835415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 145.5,
                  "npi": [
                    1689835415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 324.58,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871750505"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 184.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1871750505
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942828223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1942828223
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063510782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.0,
              "providers": [
                {
                  "billed_charge": 2.0,
                  "npi": [
                    1063510782
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.64,
              "providers": [
                {
                  "billed_charge": 8.64,
                  "npi": [
                    1063510782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063734739"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1063734739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083794184"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 27.1,
                  "npi": [
                    1083794184
                  ]
                },
                {
                  "billed_charge": 27.11,
                  "npi": [
                    1083794184
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093716979"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.87,
              "providers": [
                {
                  "billed_charge": 15.87,
                  "npi": [
                    1093716979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225874704"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1225874704
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356325112"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1356325112
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528198223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1528198223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578195525"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1578195525
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665566"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 44.65,
                  "npi": [
                    1588665566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609278357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.42,
              "providers": [
                {
                  "billed_charge": 3.42,
                  "npi": [
                    1609278357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649247974"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.64,
                  "npi": [
                    1649247974
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659900058"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.45,
              "providers": [
                {
                  "billed_charge": 8.45,
                  "npi": [
                    1659900058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669744769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.35,
              "providers": [
                {
                  "billed_charge": 12.35,
                  "npi": [
                    1669744769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720644826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1720644826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801883780"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.57,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1801883780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932786050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.44,
              "providers": [
                {
                  "billed_charge": 10.44,
                  "npi": [
                    1932786050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982600540"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.22,
              "providers": [
                {
                  "billed_charge": 7.22,
                  "npi": [
                    1982600540
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033976170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.81,
              "providers": [
                {
                  "billed_charge": 43.75,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.62,
              "providers": [
                {
                  "billed_charge": 42.57,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.75,
              "providers": [
                {
                  "billed_charge": 43.75,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124424205"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.63,
              "providers": [
                {
                  "billed_charge": 32.63,
                  "npi": [
                    1124424205
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194792812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1194792812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205945888"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.2,
              "providers": [
                {
                  "billed_charge": 25.2,
                  "npi": [
                    1205945888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235434283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 37.16,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.51,
              "providers": [
                {
                  "billed_charge": 21.51,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.88,
              "providers": [
                {
                  "billed_charge": 23.88,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.06,
              "providers": [
                {
                  "billed_charge": 24.06,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255384798"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1255384798
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1255384798
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316517576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.08,
              "providers": [
                {
                  "billed_charge": 25.08,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.59,
              "providers": [
                {
                  "billed_charge": 28.59,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.61,
              "providers": [
                {
                  "billed_charge": 28.61,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.77,
              "providers": [
                {
                  "billed_charge": 51.77,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.78,
              "providers": [
                {
                  "billed_charge": 51.78,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598094955"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.7,
              "providers": [
                {
                  "billed_charge": 43.52,
                  "npi": [
                    1598094955
                  ]
                },
                {
                  "billed_charge": 43.53,
                  "npi": [
                    1598094955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649245887"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1649245887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689155145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689155145
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.83,
              "providers": [
                {
                  "billed_charge": 44.83,
                  "npi": [
                    1689155145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700301561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1700301561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770688392"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.14,
              "providers": [
                {
                  "billed_charge": 27.14,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.53,
              "providers": [
                {
                  "billed_charge": 46.53,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982781886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1982781886
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.8,
              "providers": [
                {
                  "billed_charge": 32.8,
                  "npi": [
                    1982781886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023145018"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1023145018
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043958473"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 617.0,
              "providers": [
                {
                  "billed_charge": 617.0,
                  "npi": [
                    1043958473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1144217894
                  ]
                },
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144611633"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1144611633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184687386"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.58,
              "providers": [
                {
                  "billed_charge": 83.58,
                  "npi": [
                    1184687386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215040225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 147.39,
                  "npi": [
                    1215040225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 218.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225031933"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1225031933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235582305"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.71,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1235582305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.2,
              "providers": [
                {
                  "billed_charge": 52.2,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255821856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1255821856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306468418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1306468418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326538703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1326538703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376939173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1376939173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396382594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.2,
              "providers": [
                {
                  "billed_charge": 42.2,
                  "npi": [
                    1396382594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407253578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.2,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548303530"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1548303530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558685206"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1558685206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568842813"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598975831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.4,
              "providers": [
                {
                  "billed_charge": 95.4,
                  "npi": [
                    1598975831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649373572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.1,
              "providers": [
                {
                  "billed_charge": 65.1,
                  "npi": [
                    1649373572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659504785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1659504785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669726584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1669726584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710183520"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710183520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750640165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1750640165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821345695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.25,
              "providers": [
                {
                  "billed_charge": 120.25,
                  "npi": [
                    1821345695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.43,
              "providers": [
                {
                  "billed_charge": 98.43,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922480276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.89,
              "providers": [
                {
                  "billed_charge": 100.89,
                  "npi": [
                    1922480276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952708000"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.0,
              "providers": [
                {
                  "billed_charge": 3.0,
                  "npi": [
                    1952708000
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962419978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174512701"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1174512701
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.75,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.28,
              "providers": [
                {
                  "billed_charge": 24.28,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760952741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.69,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1760952741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 19.42,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.84,
              "providers": [
                {
                  "billed_charge": 38.84,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013015825"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1013015825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013068261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1013068261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013194984"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1013194984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013996271"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1013996271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033325592"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1033325592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043697972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 434.7,
              "providers": [
                {
                  "billed_charge": 434.7,
                  "npi": [
                    1043697972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.94,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053901249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1053901249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093089831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 388.0,
                  "npi": [
                    1093089831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093980138"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.1,
              "providers": [
                {
                  "billed_charge": 27.1,
                  "npi": [
                    1093980138
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174579791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.15,
              "providers": [
                {
                  "billed_charge": 106.15,
                  "npi": [
                    1174579791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184233454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 310.75,
              "providers": [
                {
                  "billed_charge": 606.5,
                  "npi": [
                    1184233454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.46,
              "providers": [
                {
                  "billed_charge": 143.46,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 163.77,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194773317"
          },
          "service_code": [
            "02",
            "10",
            "52"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.88,
              "providers": [
                {
                  "billed_charge": 153.88,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            },
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194979526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1194979526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215298823"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.75,
              "providers": [
                {
                  "billed_charge": 77.75,
                  "npi": [
                    1215298823
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.03,
              "providers": [
                {
                  "billed_charge": 95.03,
                  "npi": [
                    1215298823
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215712096"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1215712096
                  ]
                }
              ]
            },
            {
              "allowed_amount": 207.73,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1215712096
                  ]
                }
              ]
            },
            {
              "allowed_amount": 212.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1215712096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235106279"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235106279
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235106279
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.45,
              "providers": [
                {
                  "billed_charge": 116.45,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.23,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 172.67,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235871914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235871914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275714289"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1275714289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285051144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 309.0,
                  "npi": [
                    1285051144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356327647"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1356327647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366856981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1366856981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376099556"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.56,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1376099556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396093290"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1396093290
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407837826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407837826
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.2,
              "providers": [
                {
                  "billed_charge": 111.2,
                  "npi": [
                    1407837826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1407844970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417522103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1417522103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417629924"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.02,
              "providers": [
                {
                  "billed_charge": 189.02,
                  "npi": [
                    1417629924
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427035591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1427035591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427388131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 282.0,
                  "npi": [
                    1427388131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427679067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.25,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1447259379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457127771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1457127771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457396368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1457396368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457549529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1457549529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457652067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1457652067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487320958"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 316.0,
                  "npi": [
                    1487320958
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 316.0,
                  "npi": [
                    1487320958
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487409090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.94,
              "providers": [
                {
                  "billed_charge": 157.6,
                  "npi": [
                    1487409090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487818282"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1487818282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518104280"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1518104280
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528055613"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.25,
              "providers": [
                {
                  "billed_charge": 146.25,
                  "npi": [
                    1528055613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568639037"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1568639037
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "22",
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                },
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.84,
              "providers": [
                {
                  "billed_charge": 10.84,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.64,
              "providers": [
                {
                  "billed_charge": 16.64,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.97,
              "providers": [
                {
                  "billed_charge": 25.97,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.63,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.14,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "10",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            },
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1588665103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619348414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1619348414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649217183"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1649217183
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649892225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1649892225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669530846"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1669530846
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1669530846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.2,
              "providers": [
                {
                  "billed_charge": 499.2,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689661027"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.17,
              "providers": [
                {
                  "billed_charge": 632.45,
                  "npi": [
                    1689661027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.55,
              "providers": [
                {
                  "billed_charge": 16.55,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 169.89,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 211.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.18,
              "providers": [
                {
                  "billed_charge": 83.18,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            },
            {
              "allowed_amount": 240.19,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699705681"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.16,
              "providers": [
                {
                  "billed_charge": 187.16,
                  "npi": [
                    1699705681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720255730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1720255730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730183286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1730183286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "10",
            "11",
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.36,
              "providers": [
                {
                  "billed_charge": 110.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.88,
              "providers": [
                {
                  "billed_charge": 153.88,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740845056"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 237.03,
              "providers": [
                {
                  "billed_charge": 237.03,
                  "npi": [
                    1740845056
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750330551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1750330551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750807640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1750807640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760154710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1760154710
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1760154710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770366494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.86,
              "providers": [
                {
                  "billed_charge": 199.86,
                  "npi": [
                    1770366494
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780625962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1780625962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 178.02,
              "providers": [
                {
                  "billed_charge": 204.85,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801854724"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1801854724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801881529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 309.0,
              "providers": [
                {
                  "billed_charge": 309.0,
                  "npi": [
                    1801881529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811101579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1811101579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821053976"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1821053976
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841688132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1841688132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861201535"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1861201535
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871563106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 204.85,
                  "npi": [
                    1871563106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902079478"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1902079478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 164.5,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912066499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922686641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1922686641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962601229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.35,
              "providers": [
                {
                  "billed_charge": 26.35,
                  "npi": [
                    1962601229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962861047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 483.0,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1962861047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 177.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.8,
              "providers": [
                {
                  "billed_charge": 70.8,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306825997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1306825997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.76,
              "providers": [
                {
                  "billed_charge": 23.76,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 607.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 56.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518042175"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 264.0,
                  "npi": [
                    1518042175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.76,
              "providers": [
                {
                  "billed_charge": 23.76,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619957933"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1619957933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720279805"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.96,
                  "npi": [
                    1720279805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "21",
            "23",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 14.89,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.64,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 82.72,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.72,
              "providers": [
                {
                  "billed_charge": 82.72,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871639914"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.38,
              "providers": [
                {
                  "billed_charge": 6.38,
                  "npi": [
                    1871639914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 36.43,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.5,
              "providers": [
                {
                  "billed_charge": 70.5,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.76,
              "providers": [
                {
                  "billed_charge": 23.76,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mechanical traction therapy",
      "billing_code_type": "CPT",
      "billing_code": "97012",
      "billing_code_type_version": "2026",
      "description": "Mechanical traction therapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407253578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.17,
              "providers": [
                {
                  "billed_charge": 9.17,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.09,
              "providers": [
                {
                  "billed_charge": 13.09,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.1,
              "providers": [
                {
                  "billed_charge": 13.1,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.88,
              "providers": [
                {
                  "billed_charge": 13.88,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.68,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.9,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.15,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.68,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578756201"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1578756201
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902844350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.21,
              "providers": [
                {
                  "billed_charge": 7.21,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.53,
              "providers": [
                {
                  "billed_charge": 7.53,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.54,
              "providers": [
                {
                  "billed_charge": 7.54,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.9,
              "providers": [
                {
                  "billed_charge": 7.9,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.91,
              "providers": [
                {
                  "billed_charge": 7.91,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063510782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1063510782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063799120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 377.0,
                  "npi": [
                    1063799120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104199751"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1104199751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174554455"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1174554455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225874704"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1225874704
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265492441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1265492441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "11",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386960532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.1,
              "providers": [
                {
                  "billed_charge": 135.1,
                  "npi": [
                    1386960532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407075880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.72,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1407075880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457792822"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1457792822
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538156542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1538156542
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1538156542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558552265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 171.14,
                  "npi": [
                    1558552265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558974709"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1558974709
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578195525"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.22,
              "providers": [
                {
                  "billed_charge": 259.0,
                  "npi": [
                    1578195525
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588620256"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588620256
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639331150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1639331150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659537165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.3,
              "providers": [
                {
                  "billed_charge": 174.3,
                  "npi": [
                    1659537165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659731826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1659731826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669744769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.25,
              "providers": [
                {
                  "billed_charge": 159.25,
                  "npi": [
                    1669744769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710265905"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1710265905
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1710265905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801572003"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1801572003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811233828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 262.0,
                  "npi": [
                    1811233828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861854176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1861854176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871556621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.25,
              "providers": [
                {
                  "billed_charge": 159.25,
                  "npi": [
                    1871556621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871913129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.35,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1871913129
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1871913129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962764639"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1962764639
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972604692"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.5,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1972604692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code": "3078F",
      "billing_code_type_version": "2026",
      "description": "3078F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063573830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1063573830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285729335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1285729335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679570352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710982145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1710982145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871007567"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1871007567
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure estradiol (hormone) level",
      "billing_code_type": "CPT",
      "billing_code": "82670",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure estradiol (hormone) level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013462787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1013462787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.92,
              "providers": [
                {
                  "billed_charge": 37.75,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 59.97,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 117.12,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.93,
              "providers": [
                {
                  "billed_charge": 34.93,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.94,
              "providers": [
                {
                  "billed_charge": 27.94,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.92,
              "providers": [
                {
                  "billed_charge": 163.3,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.92,
              "providers": [
                {
                  "billed_charge": 35.92,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.29,
              "providers": [
                {
                  "billed_charge": 42.29,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679502959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.8,
              "providers": [
                {
                  "billed_charge": 23.8,
                  "npi": [
                    1679502959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770697104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.89,
              "providers": [
                {
                  "billed_charge": 5.89,
                  "npi": [
                    1770697104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.94,
              "providers": [
                {
                  "billed_charge": 27.94,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.92,
              "providers": [
                {
                  "billed_charge": 35.92,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.94,
              "providers": [
                {
                  "billed_charge": 27.94,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.15,
              "providers": [
                {
                  "billed_charge": 12.15,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134191836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.57,
              "providers": [
                {
                  "billed_charge": 6.57,
                  "npi": [
                    1134191836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144480310"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.34,
              "providers": [
                {
                  "billed_charge": 21.02,
                  "npi": [
                    1144480310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225110497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 34.28,
                  "npi": [
                    1225110497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336365931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1336365931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346593316"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.1,
                  "npi": [
                    1346593316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477596203"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 15.89,
                  "npi": [
                    1477596203
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497865935"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1497865935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639259245"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1639259245
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649248626"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 19.64,
                  "npi": [
                    1649248626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669660783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.77,
              "providers": [
                {
                  "billed_charge": 6.77,
                  "npi": [
                    1669660783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750996070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.36,
              "providers": [
                {
                  "billed_charge": 3.36,
                  "npi": [
                    1750996070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831318187"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.89,
              "providers": [
                {
                  "billed_charge": 8.89,
                  "npi": [
                    1831318187
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902329592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1902329592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982902557"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.79,
                  "npi": [
                    1982902557
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1205942406"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.17,
              "providers": [
                {
                  "billed_charge": 2.17,
                  "npi": [
                    1205942406
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235115437"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1235115437
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.65,
              "providers": [
                {
                  "billed_charge": 16.65,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            },
            {
              "allowed_amount": 116.51,
              "providers": [
                {
                  "billed_charge": 116.51,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844657"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 28.05,
                  "npi": [
                    1407844657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.37,
              "providers": [
                {
                  "billed_charge": 18.37,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497850275"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1497850275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1508835828
                  ]
                },
                {
                  "billed_charge": 48.13,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538391768"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.93,
              "providers": [
                {
                  "billed_charge": 7.93,
                  "npi": [
                    1538391768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 17.43,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.78,
              "providers": [
                {
                  "billed_charge": 14.78,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 25.8,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790868982"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1790868982
                  ]
                },
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1790868982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811939887"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 877.0,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861480543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.6,
              "providers": [
                {
                  "billed_charge": 9.6,
                  "npi": [
                    1861480543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891569828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 18.71,
                  "npi": [
                    1891569828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902918030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.07,
              "providers": [
                {
                  "billed_charge": 4.07,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor office visit",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Chiropractor office visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073272811"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1073272811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093929895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.26,
              "providers": [
                {
                  "billed_charge": 41.26,
                  "npi": [
                    1093929895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124187562"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.8,
              "providers": [
                {
                  "billed_charge": 198.8,
                  "npi": [
                    1124187562
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124480918"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.5,
              "providers": [
                {
                  "billed_charge": 156.5,
                  "npi": [
                    1124480918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134164270"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.0,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1134164270
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154587855"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1154587855
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1154587855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174128748"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 263.0,
              "providers": [
                {
                  "billed_charge": 263.0,
                  "npi": [
                    1174128748
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215165832"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.26,
              "providers": [
                {
                  "billed_charge": 41.26,
                  "npi": [
                    1215165832
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225085285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.73,
              "providers": [
                {
                  "billed_charge": 261.6,
                  "npi": [
                    1225085285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265465439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1265465439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285223552"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1285223552
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285655431"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1285655431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346233160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1346233160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356597637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 247.0,
              "providers": [
                {
                  "billed_charge": 247.0,
                  "npi": [
                    1356597637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366680639"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 218.06,
              "providers": [
                {
                  "billed_charge": 370.53,
                  "npi": [
                    1366680639
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376287029"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.47,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1376287029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376612150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.0,
              "providers": [
                {
                  "billed_charge": 132.0,
                  "npi": [
                    1376612150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386105088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1386105088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386640332"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1386640332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386856276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1386856276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396751194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.97,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1396751194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 157.88,
              "providers": [
                {
                  "billed_charge": 157.88,
                  "npi": [
                    1396751194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1396751194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407004757"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1407004757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407070485"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1407070485
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467607135"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.1,
              "providers": [
                {
                  "billed_charge": 177.1,
                  "npi": [
                    1467607135
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487849469"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.99,
              "providers": [
                {
                  "billed_charge": 103.99,
                  "npi": [
                    1487849469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497724918"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1497724918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518398866"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1518398866
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558524033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.72,
              "providers": [
                {
                  "billed_charge": 29.72,
                  "npi": [
                    1558524033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588901532"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1588901532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669575734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1669575734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679731319"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1679731319
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710262266"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1710262266
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710775234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1710775234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740694918"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.62,
              "providers": [
                {
                  "billed_charge": 139.62,
                  "npi": [
                    1740694918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750327235"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1750327235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790043289"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1790043289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.31,
              "providers": [
                {
                  "billed_charge": 72.31,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871925693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1871925693
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942799523"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 284.0,
                  "npi": [
                    1942799523
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952172843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1952172843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972138238"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972922730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.59,
              "providers": [
                {
                  "billed_charge": 78.59,
                  "npi": [
                    1972922730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063540763"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1063540763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093137812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.4,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1093137812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.51,
              "providers": [
                {
                  "billed_charge": 57.51,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285977942"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1285977942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306217567"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1306217567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316119043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1316119043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326538703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1326538703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366248908"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1366248908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366407603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.35,
              "providers": [
                {
                  "billed_charge": 50.35,
                  "npi": [
                    1366407603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437167160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1437167160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508418955"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1508418955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548212988"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.46,
              "providers": [
                {
                  "billed_charge": 151.46,
                  "npi": [
                    1548212988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548677636"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.89,
              "providers": [
                {
                  "billed_charge": 125.89,
                  "npi": [
                    1548677636
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598821175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609842962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1609842962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [
            "22",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.6,
              "providers": [
                {
                  "billed_charge": 60.6,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 98.07,
              "providers": [
                {
                  "billed_charge": 148.92,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649921834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.72,
              "providers": [
                {
                  "billed_charge": 110.72,
                  "npi": [
                    1649921834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811950371"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.83,
              "providers": [
                {
                  "billed_charge": 91.83,
                  "npi": [
                    1811950371
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902886492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1902886492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952411233"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1952411233
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982903951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982903951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.03,
              "providers": [
                {
                  "billed_charge": 39.03,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure total prostate specific antigen (psa)",
      "billing_code_type": "CPT",
      "billing_code": "84153",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure total prostate specific antigen (psa)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.08,
              "providers": [
                {
                  "billed_charge": 27.08,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.25,
              "providers": [
                {
                  "billed_charge": 7.25,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.99,
              "providers": [
                {
                  "billed_charge": 22.99,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255697306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.51,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1255697306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265603633"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 100.89,
                  "npi": [
                    1265603633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 40.38,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 26.15,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659472306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.82,
              "providers": [
                {
                  "billed_charge": 72.82,
                  "npi": [
                    1659472306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.98,
              "providers": [
                {
                  "billed_charge": 13.98,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053110619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 216.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1053110619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063672335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 362.0,
              "providers": [
                {
                  "billed_charge": 362.0,
                  "npi": [
                    1063672335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073118626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.8,
              "providers": [
                {
                  "billed_charge": 175.8,
                  "npi": [
                    1073118626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 352.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            },
            {
              "allowed_amount": 331.0,
              "providers": [
                {
                  "billed_charge": 352.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093493637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.0,
              "providers": [
                {
                  "billed_charge": 123.0,
                  "npi": [
                    1093493637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093997017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.61,
              "providers": [
                {
                  "billed_charge": 352.0,
                  "npi": [
                    1093997017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114037462"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.68,
              "providers": [
                {
                  "billed_charge": 72.68,
                  "npi": [
                    1114037462
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114283058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1114283058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124118062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.61,
              "providers": [
                {
                  "billed_charge": 187.61,
                  "npi": [
                    1124118062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174608699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1174608699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194282756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1194282756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194760603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1194760603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215994132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1215994132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376575514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.33,
              "providers": [
                {
                  "billed_charge": 119.33,
                  "npi": [
                    1376575514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407810971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 305.84,
              "providers": [
                {
                  "billed_charge": 305.84,
                  "npi": [
                    1407810971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437101359"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1437101359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447564828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1447564828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588861751"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588861751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588863021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1588863021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689624231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1689624231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790957538"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1790957538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 305.84,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831285543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1831285543
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013306414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1013306414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073566006"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1073566006
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1073566006
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164881355"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.4,
              "providers": [
                {
                  "billed_charge": 203.4,
                  "npi": [
                    1164881355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225267867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.02,
              "providers": [
                {
                  "billed_charge": 135.02,
                  "npi": [
                    1225267867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366425654"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1366425654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407406820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407406820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437177664"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 247.9,
                  "npi": [
                    1437177664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437264546"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.4,
              "providers": [
                {
                  "billed_charge": 122.4,
                  "npi": [
                    1437264546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518287036"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1518287036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598272650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1598272650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598580938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1598580938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609802073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1609802073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619761921"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.34,
              "providers": [
                {
                  "billed_charge": 98.34,
                  "npi": [
                    1619761921
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649726316"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.76,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1649726316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679519797"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1679519797
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730187493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 281.0,
                  "npi": [
                    1730187493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770780603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1770780603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780320655"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1780320655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780478016"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1780478016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801630546"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1801630546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801817481"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.14,
              "providers": [
                {
                  "billed_charge": 76.14,
                  "npi": [
                    1801817481
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821732207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.4,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1821732207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831160746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.86,
              "providers": [
                {
                  "billed_charge": 65.86,
                  "npi": [
                    1831160746
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831477272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1831477272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841527652"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1841527652
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881690600"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1881690600
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942456660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1942456660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942795000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.31,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1942795000
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982660023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1982660023
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mammogram",
      "billing_code_type": "CPT",
      "billing_code": "77067",
      "billing_code_type_version": "2026",
      "description": "Mammogram",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023171634"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1023171634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270564"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 248.16,
              "providers": [
                {
                  "billed_charge": 284.43,
                  "npi": [
                    1043270564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1063453991
                  ]
                },
                {
                  "billed_charge": 133.0,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 131.68,
              "providers": [
                {
                  "billed_charge": 131.68,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063466035"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.0,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1063466035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073129623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.09,
              "providers": [
                {
                  "billed_charge": 184.85,
                  "npi": [
                    1073129623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114263456"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 479.0,
                  "npi": [
                    1114263456
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1114263456
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144256447"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1144256447
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1144256447
                  ]
                }
              ]
            },
            {
              "allowed_amount": 208.45,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1144256447
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154314789"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 216.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1154314789
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154703197"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1154703197
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164478186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 524.0,
                  "npi": [
                    1164478186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366495988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 766.0,
                  "npi": [
                    1366495988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407886120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1407886120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427016161"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.48,
              "providers": [
                {
                  "billed_charge": 64.48,
                  "npi": [
                    1427016161
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1427016161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467406132"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.4,
              "providers": [
                {
                  "billed_charge": 114.4,
                  "npi": [
                    1467406132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 226.54,
              "providers": [
                {
                  "billed_charge": 228.26,
                  "npi": [
                    1467406132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528027240"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1528027240
                  ]
                },
                {
                  "billed_charge": 936.6,
                  "npi": [
                    1528027240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538114442"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 227.25,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1538114442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568705267"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 983.46,
                  "npi": [
                    1568705267
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1568705267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598260515"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 133.0,
                  "npi": [
                    1598260515
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.96,
              "providers": [
                {
                  "billed_charge": 54.96,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.07,
              "providers": [
                {
                  "billed_charge": 540.31,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942972344"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.35,
              "providers": [
                {
                  "billed_charge": 57.35,
                  "npi": [
                    1942972344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972004489"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.78,
              "providers": [
                {
                  "billed_charge": 165.78,
                  "npi": [
                    1972004489
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023050101"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 14.7,
                  "npi": [
                    1023050101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154386431"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154386431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225034333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.87,
              "providers": [
                {
                  "billed_charge": 15.87,
                  "npi": [
                    1225034333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.75,
              "providers": [
                {
                  "billed_charge": 3.75,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.6,
              "providers": [
                {
                  "billed_charge": 11.68,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255401519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.26,
              "providers": [
                {
                  "billed_charge": 12.59,
                  "npi": [
                    1255401519
                  ]
                },
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.4,
              "providers": [
                {
                  "billed_charge": 13.4,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.98,
              "providers": [
                {
                  "billed_charge": 18.98,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366443368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.59,
              "providers": [
                {
                  "billed_charge": 5.59,
                  "npi": [
                    1366443368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538993084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.68,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1538993084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689809022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.91,
              "providers": [
                {
                  "billed_charge": 6.91,
                  "npi": [
                    1689809022
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1689809022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700851649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 21.35,
                  "npi": [
                    1700851649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760052849"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1760052849
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811518327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1811518327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841209012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.15,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1841209012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841510666"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1841510666
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922635242"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.58,
              "providers": [
                {
                  "billed_charge": 15.59,
                  "npi": [
                    1922635242
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.87,
              "providers": [
                {
                  "billed_charge": 15.87,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Emergency visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99284",
      "billing_code_type_version": "2026",
      "description": "Emergency visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.55,
              "providers": [
                {
                  "billed_charge": 175.55,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063175578"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 238.96,
                  "npi": [
                    1063175578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306825997"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 238.96,
                  "npi": [
                    1306825997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356015564"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.55,
              "providers": [
                {
                  "billed_charge": 175.55,
                  "npi": [
                    1356015564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 912.04,
              "providers": [
                {
                  "billed_charge": 912.04,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 238.96,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568913473"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 238.96,
                  "npi": [
                    1568913473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 796.0,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811097223"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 238.96,
                  "npi": [
                    1811097223
                  ]
                },
                {
                  "billed_charge": 721.0,
                  "npi": [
                    1811097223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 234.06,
              "providers": [
                {
                  "billed_charge": 234.06,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 238.96,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.96,
              "providers": [
                {
                  "billed_charge": 238.96,
                  "npi": [
                    1982601456
                  ]
                },
                {
                  "billed_charge": 721.0,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for extra complexity in an evaluation and management visit",
      "billing_code_type": "HCPCS",
      "billing_code": "G2211",
      "billing_code_type_version": "2026",
      "description": "Provider fee for extra complexity in an evaluation and management visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.75,
              "providers": [
                {
                  "billed_charge": 24.75,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033053947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1033053947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.52,
              "providers": [
                {
                  "billed_charge": 21.52,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.54,
              "providers": [
                {
                  "billed_charge": 29.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174859508"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.66,
                  "npi": [
                    1174859508
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194078055"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1194078055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.75,
              "providers": [
                {
                  "billed_charge": 24.75,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.54,
              "providers": [
                {
                  "billed_charge": 29.54,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.52,
              "providers": [
                {
                  "billed_charge": 21.52,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568495299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.9,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1568495299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.8,
              "providers": [
                {
                  "billed_charge": 24.8,
                  "npi": [
                    1588665145
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.6,
              "providers": [
                {
                  "billed_charge": 33.6,
                  "npi": [
                    1588665145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811979420"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.9,
              "providers": [
                {
                  "billed_charge": 94.25,
                  "npi": [
                    1811979420
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.9,
              "providers": [
                {
                  "billed_charge": 27.01,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1326164260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1326164260
                  ]
                }
              ]
            },
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1326164260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396887162"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1396887162
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427019306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1427019306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467758623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1467758623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558568907"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1558568907
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1558568907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578756201"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1578756201
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.44,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1578756201
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659976512"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1659976512
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1659976512
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710208269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760876338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1760876338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821894510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1821894510
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1821894510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831292143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.9,
                  "npi": [
                    1831292143
                  ]
                },
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1831292143
                  ]
                },
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1831292143
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.9,
              "providers": [
                {
                  "billed_charge": 33.9,
                  "npi": [
                    1831292143
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.16,
              "providers": [
                {
                  "billed_charge": 49.16,
                  "npi": [
                    1831292143
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.19,
              "providers": [
                {
                  "billed_charge": 49.19,
                  "npi": [
                    1831292143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972622272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1972622272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982187647"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 41.0,
                  "npi": [
                    1982187647
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.0,
              "providers": [
                {
                  "billed_charge": 41.0,
                  "npi": [
                    1982187647
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013258912"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.06,
              "providers": [
                {
                  "billed_charge": 32.06,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.66,
              "providers": [
                {
                  "billed_charge": 32.66,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.49,
              "providers": [
                {
                  "billed_charge": 35.49,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.55,
              "providers": [
                {
                  "billed_charge": 48.55,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023037140"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.87,
              "providers": [
                {
                  "billed_charge": 36.87,
                  "npi": [
                    1023037140
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 176.0,
              "providers": [
                {
                  "billed_charge": 176.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194718585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.17,
              "providers": [
                {
                  "billed_charge": 23.17,
                  "npi": [
                    1194718585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285724039"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.2,
              "providers": [
                {
                  "billed_charge": 15.2,
                  "npi": [
                    1285724039
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.23,
              "providers": [
                {
                  "billed_charge": 27.23,
                  "npi": [
                    1285724039
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306583737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1306583737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356339857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.91,
              "providers": [
                {
                  "billed_charge": 13.91,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366495897"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.33,
              "providers": [
                {
                  "billed_charge": 18.33,
                  "npi": [
                    1366495897
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.7,
              "providers": [
                {
                  "billed_charge": 26.7,
                  "npi": [
                    1366495897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.46,
              "providers": [
                {
                  "billed_charge": 46.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 59.83,
              "providers": [
                {
                  "billed_charge": 59.83,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.29,
              "providers": [
                {
                  "billed_charge": 106.29,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 119.66,
              "providers": [
                {
                  "billed_charge": 119.66,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.48,
              "providers": [
                {
                  "billed_charge": 179.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 199.21,
              "providers": [
                {
                  "billed_charge": 199.21,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 239.31,
              "providers": [
                {
                  "billed_charge": 239.31,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.9,
              "providers": [
                {
                  "billed_charge": 13.9,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.51,
              "providers": [
                {
                  "billed_charge": 15.51,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.52,
              "providers": [
                {
                  "billed_charge": 15.52,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.29,
              "providers": [
                {
                  "billed_charge": 16.29,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.3,
              "providers": [
                {
                  "billed_charge": 16.3,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.6,
              "providers": [
                {
                  "billed_charge": 18.6,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.47,
              "providers": [
                {
                  "billed_charge": 55.47,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.48,
              "providers": [
                {
                  "billed_charge": 55.48,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 83.64,
              "providers": [
                {
                  "billed_charge": 118.87,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.7,
              "providers": [
                {
                  "billed_charge": 26.7,
                  "npi": [
                    1447259734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487409090"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.0,
              "providers": [
                {
                  "billed_charge": 64.0,
                  "npi": [
                    1487409090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548479967"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.17,
              "providers": [
                {
                  "billed_charge": 23.17,
                  "npi": [
                    1548479967
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609899061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.66,
              "providers": [
                {
                  "billed_charge": 32.66,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.8,
              "providers": [
                {
                  "billed_charge": 39.8,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639175474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1639175474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790141802"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1790141802
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.42,
              "providers": [
                {
                  "billed_charge": 36.42,
                  "npi": [
                    1790141802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811089147"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.23,
              "providers": [
                {
                  "billed_charge": 11.23,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.77,
              "providers": [
                {
                  "billed_charge": 15.77,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.53,
              "providers": [
                {
                  "billed_charge": 93.53,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.46,
              "providers": [
                {
                  "billed_charge": 280.59,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.06,
              "providers": [
                {
                  "billed_charge": 187.06,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 280.59,
              "providers": [
                {
                  "billed_charge": 280.59,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851934004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1851934004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.25,
              "providers": [
                {
                  "billed_charge": 12.25,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.35,
              "providers": [
                {
                  "billed_charge": 12.35,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.69,
              "providers": [
                {
                  "billed_charge": 13.69,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.47,
              "providers": [
                {
                  "billed_charge": 14.47,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.52,
              "providers": [
                {
                  "billed_charge": 15.52,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.94,
              "providers": [
                {
                  "billed_charge": 17.94,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.24,
              "providers": [
                {
                  "billed_charge": 18.24,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.25,
              "providers": [
                {
                  "billed_charge": 18.25,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.97,
              "providers": [
                {
                  "billed_charge": 18.97,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.34,
              "providers": [
                {
                  "billed_charge": 21.34,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.61,
              "providers": [
                {
                  "billed_charge": 21.61,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.62,
              "providers": [
                {
                  "billed_charge": 21.62,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.08,
              "providers": [
                {
                  "billed_charge": 25.08,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.09,
              "providers": [
                {
                  "billed_charge": 25.09,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.87,
              "providers": [
                {
                  "billed_charge": 26.87,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.87,
              "providers": [
                {
                  "billed_charge": 27.87,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.94,
              "providers": [
                {
                  "billed_charge": 28.94,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.82,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003818352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 112.09,
                  "npi": [
                    1003818352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023554474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.3,
              "providers": [
                {
                  "billed_charge": 32.3,
                  "npi": [
                    1023554474
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.31,
              "providers": [
                {
                  "billed_charge": 32.31,
                  "npi": [
                    1023554474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043377872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.63,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1043377872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053533513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1053533513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114491172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.63,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1114491172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205205259"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1205205259
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215794169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1215794169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215943881"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1215943881
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295911535"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1295911535
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487691309"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1487691309
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558412593"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1558412593
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649302258"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1649302258
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700349800"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1700349800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720273469"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1720273469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952583502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1952583502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.63,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114530995"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.5,
              "providers": [
                {
                  "billed_charge": 40.5,
                  "npi": [
                    1114530995
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134561822"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.65,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1134561822
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164690806"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.65,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1164690806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174621841"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1174621841
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518055136"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.81,
              "providers": [
                {
                  "billed_charge": 26.81,
                  "npi": [
                    1518055136
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639294416"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.07,
              "providers": [
                {
                  "billed_charge": 31.07,
                  "npi": [
                    1639294416
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1639294416
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649410630"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1649410630
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.5,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1649410630
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750338463"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1750338463
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.5,
              "providers": [
                {
                  "billed_charge": 40.5,
                  "npi": [
                    1750338463
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1750338463
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811948557"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1811948557
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821178542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.65,
              "providers": [
                {
                  "billed_charge": 66.39,
                  "npi": [
                    1821178542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851647895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1851647895
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for DTAP vaccine (diphtheria, tetanus, & acellular pertussis)",
      "billing_code_type": "CPT",
      "billing_code": "90715",
      "billing_code_type_version": "2026",
      "description": "Provider fee for DTAP vaccine (diphtheria, tetanus, & acellular pertussis)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.22,
              "providers": [
                {
                  "billed_charge": 59.22,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 59.54,
              "providers": [
                {
                  "billed_charge": 59.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.04,
              "providers": [
                {
                  "billed_charge": 73.04,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.13,
              "providers": [
                {
                  "billed_charge": 81.13,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.2,
              "providers": [
                {
                  "billed_charge": 59.2,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.54,
              "providers": [
                {
                  "billed_charge": 59.54,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.0,
              "providers": [
                {
                  "billed_charge": 93.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518966407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1518966407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.22,
              "providers": [
                {
                  "billed_charge": 59.22,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689307993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1689307993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.54,
              "providers": [
                {
                  "billed_charge": 59.54,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.76,
              "providers": [
                {
                  "billed_charge": 64.76,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure iron level",
      "billing_code_type": "CPT",
      "billing_code": "83540",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure iron level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.4,
              "providers": [
                {
                  "billed_charge": 2.4,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.4,
              "providers": [
                {
                  "billed_charge": 14.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.47,
              "providers": [
                {
                  "billed_charge": 6.47,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 71.28,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.56,
              "providers": [
                {
                  "billed_charge": 14.56,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 82.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.4,
              "providers": [
                {
                  "billed_charge": 14.4,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 33.84,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.47,
              "providers": [
                {
                  "billed_charge": 6.47,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for thyroid stimulating hormone (tsh) test",
      "billing_code_type": "CPT",
      "billing_code": "84443",
      "billing_code_type_version": "2026",
      "description": "Lab fee for thyroid stimulating hormone (tsh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023071867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1023071867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053824292"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 380.0,
                  "npi": [
                    1053824292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.47,
              "providers": [
                {
                  "billed_charge": 24.69,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255380127"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 105.35,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255697306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1255697306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336100858"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.6,
              "providers": [
                {
                  "billed_charge": 5.6,
                  "npi": [
                    1336100858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366483257"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1366483257
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366515488"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 99.36,
                  "npi": [
                    1366515488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407971856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 100.97,
                  "npi": [
                    1407971856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 39.35,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.52,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.69,
              "providers": [
                {
                  "billed_charge": 39.35,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417113077"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 495.0,
                  "npi": [
                    1417113077
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538509278"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1538509278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588868947"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.85,
              "providers": [
                {
                  "billed_charge": 8.85,
                  "npi": [
                    1588868947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 92.3,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659523207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1659523207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.63,
              "providers": [
                {
                  "billed_charge": 13.63,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.7,
              "providers": [
                {
                  "billed_charge": 20.7,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760471585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.75,
              "providers": [
                {
                  "billed_charge": 7.75,
                  "npi": [
                    1760471585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760488936"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 100.97,
                  "npi": [
                    1760488936
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790159895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.75,
              "providers": [
                {
                  "billed_charge": 19.75,
                  "npi": [
                    1790159895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790888089"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1790888089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841408283"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.72,
              "providers": [
                {
                  "billed_charge": 19.72,
                  "npi": [
                    1841408283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992375000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1992375000
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for adaptive behavior treatment",
      "billing_code_type": "CPT",
      "billing_code": "97153",
      "billing_code_type_version": "2026",
      "description": "Provider fee for adaptive behavior treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1699052191"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.5,
              "providers": [
                {
                  "billed_charge": 148.5,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 297.0,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 330.0,
              "providers": [
                {
                  "billed_charge": 330.0,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 363.0,
              "providers": [
                {
                  "billed_charge": 363.0,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 379.5,
              "providers": [
                {
                  "billed_charge": 379.5,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 396.0,
              "providers": [
                {
                  "billed_charge": 396.0,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 412.5,
              "providers": [
                {
                  "billed_charge": 412.5,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 429.0,
              "providers": [
                {
                  "billed_charge": 429.0,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245823244"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1245823244
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1245823244
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1245823244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386697928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1386697928
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.83,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1386697928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457213712"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.47,
              "providers": [
                {
                  "billed_charge": 26.47,
                  "npi": [
                    1457213712
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659565182"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.99,
              "providers": [
                {
                  "billed_charge": 64.99,
                  "npi": [
                    1659565182
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.0,
              "providers": [
                {
                  "billed_charge": 107.0,
                  "npi": [
                    1659565182
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750615373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.35,
              "providers": [
                {
                  "billed_charge": 27.35,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.99,
              "providers": [
                {
                  "billed_charge": 30.99,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.73,
              "providers": [
                {
                  "billed_charge": 34.73,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.47,
              "providers": [
                {
                  "billed_charge": 45.47,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.75,
              "providers": [
                {
                  "billed_charge": 46.75,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.23,
              "providers": [
                {
                  "billed_charge": 55.23,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.24,
              "providers": [
                {
                  "billed_charge": 55.24,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972449403"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1972449403
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for adaptive behavior treatment",
      "billing_code_type": "CPT",
      "billing_code": "97154",
      "billing_code_type_version": "2026",
      "description": "Provider fee for adaptive behavior treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1699052191"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 86.25,
              "providers": [
                {
                  "billed_charge": 86.25,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.75,
              "providers": [
                {
                  "billed_charge": 120.75,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            },
            {
              "allowed_amount": 172.5,
              "providers": [
                {
                  "billed_charge": 172.5,
                  "npi": [
                    1699052191
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023562279"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1023562279
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073192480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1073192480
                  ]
                }
              ]
            },
            {
              "allowed_amount": 197.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1073192480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134128515"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1134128515
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134164775"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 360.48,
                  "npi": [
                    1134164775
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184629115"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1184629115
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205829439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1205829439
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1205829439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.8,
              "providers": [
                {
                  "billed_charge": 256.8,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285729335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1285729335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295157675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1295157675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.92,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306468418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 334.0,
                  "npi": [
                    1306468418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316043110"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 267.77,
                  "npi": [
                    1316043110
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427446756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1427446756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558685206"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1558685206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568842813"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588783369"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1588783369
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598975831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.2,
              "providers": [
                {
                  "billed_charge": 142.2,
                  "npi": [
                    1598975831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669726584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.84,
              "providers": [
                {
                  "billed_charge": 141.84,
                  "npi": [
                    1669726584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689674277"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 690.0,
              "providers": [
                {
                  "billed_charge": 768.0,
                  "npi": [
                    1689674277
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689835415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1689835415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1710920327
                  ]
                },
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750640165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1750640165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750833760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1750833760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760952741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.73,
              "providers": [
                {
                  "billed_charge": 210.58,
                  "npi": [
                    1760952741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 220.71,
                  "npi": [
                    1942296033
                  ]
                },
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 220.71,
              "providers": [
                {
                  "billed_charge": 220.71,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972891299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1972891299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972964013"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1972964013
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for ultrasound of pelvis through vagina",
      "billing_code_type": "CPT",
      "billing_code": "76830",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for ultrasound of pelvis through vagina",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.22,
              "providers": [
                {
                  "billed_charge": 164.22,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.48,
              "providers": [
                {
                  "billed_charge": 47.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.48,
              "providers": [
                {
                  "billed_charge": 47.48,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.48,
              "providers": [
                {
                  "billed_charge": 47.48,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.73,
              "providers": [
                {
                  "billed_charge": 47.73,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073934253"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1073934253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154478931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1154478931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164221651"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1164221651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356123624"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1356123624
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386474377"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1386474377
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588609374"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588609374
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629660337"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1629660337
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649490970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1649490970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669713350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1669713350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679729412"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1679729412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861958746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1861958746
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902657109"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1902657109
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for test to count all blood cells, just red blood cells, or to find the concentration of hemoglobin",
      "billing_code_type": "CPT",
      "billing_code": "85027",
      "billing_code_type_version": "2026",
      "description": "Lab fee for test to count all blood cells, just red blood cells, or to find the concentration of hemoglobin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.4,
              "providers": [
                {
                  "billed_charge": 14.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.47,
              "providers": [
                {
                  "billed_charge": 6.47,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.56,
              "providers": [
                {
                  "billed_charge": 14.56,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518042175"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1518042175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "billing_code_type": "CPT",
      "billing_code": "82306",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.08,
              "providers": [
                {
                  "billed_charge": 12.08,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.0,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235576695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1235576695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 191.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588868947"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.88,
              "providers": [
                {
                  "billed_charge": 15.88,
                  "npi": [
                    1588868947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.47,
              "providers": [
                {
                  "billed_charge": 23.47,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.5,
              "providers": [
                {
                  "billed_charge": 22.5,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.75,
              "providers": [
                {
                  "billed_charge": 25.75,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790888089"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 368.0,
                  "npi": [
                    1790888089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003022567"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1003022567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003220617"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1003220617
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1003220617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023463080"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1023463080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033608294"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1033608294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073197513"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1073197513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114661998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1114661998
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1114661998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144763574"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1144763574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164014874"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1164014874
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1164014874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164136792"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1164136792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164816765"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1164816765
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174108559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1174108559
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174108559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194296053"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1194296053
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225841026"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1225841026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235600834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235600834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235721051"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1235721051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245797265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1245797265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245838630"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1245838630
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255195202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1255195202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265643753"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1265643753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285400978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1285400978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1285400978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326387507"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1326387507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336768688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336768688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356179022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1356179022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356898332"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1356898332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386285476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 171.0,
                  "npi": [
                    1386285476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396897955"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1396897955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407236235"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1407236235
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1407236235
                  ]
                },
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1407236235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407486699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1407486699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427482918"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1427482918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457866626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1457866626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518675180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538832894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 180.5,
                  "npi": [
                    1538832894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568276038"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1568276038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619188794"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1619188794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619607694"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1619607694
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679522015"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1679522015
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760854442"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1760854442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801782842"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1801782842
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902672280"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1902672280
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912232794"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.2,
              "providers": [
                {
                  "billed_charge": 124.2,
                  "npi": [
                    1912232794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932797024"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1932797024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942910104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1942910104
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.21,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1942910104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952729477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1952729477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972140044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1003878539
                  ]
                },
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245283993"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 33.6,
                  "npi": [
                    1245283993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.48,
              "providers": [
                {
                  "billed_charge": 17.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                },
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.48,
              "providers": [
                {
                  "billed_charge": 17.48,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 74.31,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1184884090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.16,
              "providers": [
                {
                  "billed_charge": 110.16,
                  "npi": [
                    1184884090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215608138"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1215608138
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245403567"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1245403567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316498033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.0,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1316498033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376060426"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.11,
              "providers": [
                {
                  "billed_charge": 52.11,
                  "npi": [
                    1376060426
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.05,
              "providers": [
                {
                  "billed_charge": 58.05,
                  "npi": [
                    1376060426
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376869164"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1376869164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427779578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1427779578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437967411"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.31,
              "providers": [
                {
                  "billed_charge": 165.18,
                  "npi": [
                    1437967411
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447401955"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.52,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1447401955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497806459"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.65,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1497806459
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629069240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1629069240
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.4,
              "providers": [
                {
                  "billed_charge": 147.4,
                  "npi": [
                    1629069240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639199482"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1639199482
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669429577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 269.0,
                  "npi": [
                    1669429577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679660617"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.8,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1679660617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699977884"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1699977884
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700414067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 269.0,
              "providers": [
                {
                  "billed_charge": 269.0,
                  "npi": [
                    1700414067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720073216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1720073216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750626495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801824339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1801824339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861400103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1861400103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902574395"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.0,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1902574395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982262358"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.76,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1982262358
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982688230"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 276.9,
                  "npi": [
                    1982688230
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1164613253"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1164613253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194520106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1194520106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.2,
              "providers": [
                {
                  "billed_charge": 16.2,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235874074"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.22,
              "providers": [
                {
                  "billed_charge": 27.22,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.84,
              "providers": [
                {
                  "billed_charge": 35.84,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.85,
              "providers": [
                {
                  "billed_charge": 35.85,
                  "npi": [
                    1235874074
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306331756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.84,
              "providers": [
                {
                  "billed_charge": 21.84,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.2,
              "providers": [
                {
                  "billed_charge": 24.2,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.21,
              "providers": [
                {
                  "billed_charge": 24.21,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.14,
              "providers": [
                {
                  "billed_charge": 27.14,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.15,
              "providers": [
                {
                  "billed_charge": 27.15,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.85,
              "providers": [
                {
                  "billed_charge": 35.85,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.7,
              "providers": [
                {
                  "billed_charge": 42.7,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1306331756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326204793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1326204793
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1326204793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487249736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1487249736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518254176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.72,
              "providers": [
                {
                  "billed_charge": 19.72,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.08,
              "providers": [
                {
                  "billed_charge": 43.08,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 52.83,
              "providers": [
                {
                  "billed_charge": 52.83,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.85,
              "providers": [
                {
                  "billed_charge": 53.85,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538129440"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.63,
              "providers": [
                {
                  "billed_charge": 20.63,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.6,
              "providers": [
                {
                  "billed_charge": 22.6,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.53,
              "providers": [
                {
                  "billed_charge": 24.53,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.59,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.14,
              "providers": [
                {
                  "billed_charge": 45.14,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.19,
              "providers": [
                {
                  "billed_charge": 45.19,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598236564"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.0,
              "providers": [
                {
                  "billed_charge": 148.0,
                  "npi": [
                    1598236564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699905554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.84,
              "providers": [
                {
                  "billed_charge": 31.84,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760821524"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.61,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1760821524
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.75,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1760821524
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811773385"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.06,
              "providers": [
                {
                  "billed_charge": 25.06,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.14,
              "providers": [
                {
                  "billed_charge": 27.14,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.15,
              "providers": [
                {
                  "billed_charge": 27.15,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.66,
              "providers": [
                {
                  "billed_charge": 37.56,
                  "npi": [
                    1811773385
                  ]
                },
                {
                  "billed_charge": 71.77,
                  "npi": [
                    1811773385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841321312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1841321312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871525287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.6,
              "providers": [
                {
                  "billed_charge": 21.6,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.46,
              "providers": [
                {
                  "billed_charge": 61.46,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.48,
              "providers": [
                {
                  "billed_charge": 61.48,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.01,
              "providers": [
                {
                  "billed_charge": 74.01,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871738872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881139889"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.31,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1881139889
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891967717"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.31,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1891967717
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962669275"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.6,
              "providers": [
                {
                  "billed_charge": 43.18,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982797494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.8,
              "providers": [
                {
                  "billed_charge": 33.8,
                  "npi": [
                    1982797494
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code": "3079F",
      "billing_code_type_version": "2026",
      "description": "3079F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093089831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1093089831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457303802"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457303802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457549529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1457549529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for urine test",
      "billing_code_type": "CPT",
      "billing_code": "81025",
      "billing_code_type_version": "2026",
      "description": "Lab fee for urine test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.92,
              "providers": [
                {
                  "billed_charge": 12.92,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.93,
              "providers": [
                {
                  "billed_charge": 15.93,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083938443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.8,
              "providers": [
                {
                  "billed_charge": 10.8,
                  "npi": [
                    1083938443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194977900"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1194977900
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.92,
              "providers": [
                {
                  "billed_charge": 12.92,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306509757"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1306509757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "11",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.92,
              "providers": [
                {
                  "billed_charge": 12.92,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.37,
              "providers": [
                {
                  "billed_charge": 19.37,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.92,
              "providers": [
                {
                  "billed_charge": 12.92,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.22,
              "providers": [
                {
                  "billed_charge": 59.22,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.92,
              "providers": [
                {
                  "billed_charge": 12.92,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013680651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.2,
              "providers": [
                {
                  "billed_charge": 99.2,
                  "npi": [
                    1013680651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083601413"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1083601413
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134191836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.21,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1134191836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194293720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1194293720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265419907"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 288.02,
              "providers": [
                {
                  "billed_charge": 288.02,
                  "npi": [
                    1265419907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306470703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1306470703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306841119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1306841119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336792811"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336792811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518676329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1518676329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588863021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1588863021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629594817"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1629594817
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639233125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1639233125
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.25,
              "providers": [
                {
                  "billed_charge": 155.25,
                  "npi": [
                    1639233125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659998573"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 266.34,
                  "npi": [
                    1659998573
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669429577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 269.0,
                  "npi": [
                    1669429577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679181002"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1679181002
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730146259"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 375.6,
              "providers": [
                {
                  "billed_charge": 375.6,
                  "npi": [
                    1730146259
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790772317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 341.0,
                  "npi": [
                    1790772317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790827715"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.0,
              "providers": [
                {
                  "billed_charge": 4.0,
                  "npi": [
                    1790827715
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881647253"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1881647253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902152358"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.0,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1902152358
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952118200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 435.0,
              "providers": [
                {
                  "billed_charge": 435.0,
                  "npi": [
                    1952118200
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003601220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1003601220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013964923"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.18,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1013964923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063464923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.6,
              "providers": [
                {
                  "billed_charge": 81.6,
                  "npi": [
                    1063464923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063671063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.48,
              "providers": [
                {
                  "billed_charge": 130.48,
                  "npi": [
                    1063671063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104392679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1104392679
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1104392679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114101409"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.41,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1114101409
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144495151"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.08,
              "providers": [
                {
                  "billed_charge": 224.64,
                  "npi": [
                    1144495151
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.61,
              "providers": [
                {
                  "billed_charge": 52.61,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.83,
              "providers": [
                {
                  "billed_charge": 122.81,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.81,
              "providers": [
                {
                  "billed_charge": 122.81,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184652539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1184652539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194495150"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1194495150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205886926"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.44,
              "providers": [
                {
                  "billed_charge": 128.44,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.76,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215118930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1215118930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225159791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1225159791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225292865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1225292865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.36,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.6,
              "providers": [
                {
                  "billed_charge": 60.6,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295046480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1295046480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.25,
              "providers": [
                {
                  "billed_charge": 72.25,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.64,
              "providers": [
                {
                  "billed_charge": 90.42,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356481584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.76,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1356481584
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.02,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1356481584
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1356481584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376595728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1376595728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407154925"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1407154925
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407573314"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.95,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1407573314
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427068634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1427068634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437807807"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.48,
              "providers": [
                {
                  "billed_charge": 98.48,
                  "npi": [
                    1437807807
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437980174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1437980174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467448548"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1467448548
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477736338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1477736338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508029307"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.1,
              "providers": [
                {
                  "billed_charge": 93.1,
                  "npi": [
                    1508029307
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508545112"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.18,
              "providers": [
                {
                  "billed_charge": 121.18,
                  "npi": [
                    1508545112
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528147352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1528147352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528292497"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1528292497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528528726"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1528528726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528665437"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1528665437
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538117551"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.02,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1538117551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538188339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538188339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538260245"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.26,
              "providers": [
                {
                  "billed_charge": 115.26,
                  "npi": [
                    1538260245
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568754653"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.78,
              "providers": [
                {
                  "billed_charge": 134.78,
                  "npi": [
                    1568754653
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578537825"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.0,
              "providers": [
                {
                  "billed_charge": 92.0,
                  "npi": [
                    1578537825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629732102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1629732102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639120421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.76,
              "providers": [
                {
                  "billed_charge": 100.76,
                  "npi": [
                    1639120421
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1639120421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699988998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.5,
              "providers": [
                {
                  "billed_charge": 109.5,
                  "npi": [
                    1699988998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720973688"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.64,
              "providers": [
                {
                  "billed_charge": 90.42,
                  "npi": [
                    1720973688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730277583"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.5,
              "providers": [
                {
                  "billed_charge": 82.5,
                  "npi": [
                    1730277583
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740727510"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1740727510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750937090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.6,
              "providers": [
                {
                  "billed_charge": 115.6,
                  "npi": [
                    1750937090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770854473"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1770854473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790039196"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.76,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1790039196
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790837235"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.5,
              "providers": [
                {
                  "billed_charge": 149.5,
                  "npi": [
                    1790837235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811939887"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 324.0,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.05,
              "providers": [
                {
                  "billed_charge": 38.05,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871524082"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1871524082
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.7,
              "providers": [
                {
                  "billed_charge": 102.7,
                  "npi": [
                    1871524082
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871849828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1871849828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.5,
              "providers": [
                {
                  "billed_charge": 133.5,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902918030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            },
            {
              "allowed_amount": 108.26,
              "providers": [
                {
                  "billed_charge": 108.26,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            },
            {
              "allowed_amount": 113.17,
              "providers": [
                {
                  "billed_charge": 133.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912945049"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1912945049
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942525092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.13,
              "providers": [
                {
                  "billed_charge": 120.13,
                  "npi": [
                    1942525092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942864830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.19,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1942864830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982736948"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1982736948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.41,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043526155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.56,
              "providers": [
                {
                  "billed_charge": 94.56,
                  "npi": [
                    1043526155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063431633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.5,
              "providers": [
                {
                  "billed_charge": 105.5,
                  "npi": [
                    1063431633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063463768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 351.0,
                  "npi": [
                    1063463768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093308504"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1093308504
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144546664"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1144546664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205009891"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1205009891
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245718923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 74.01,
              "providers": [
                {
                  "billed_charge": 74.01,
                  "npi": [
                    1245718923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265162192"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1265162192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265585806"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 229.0,
              "providers": [
                {
                  "billed_charge": 231.0,
                  "npi": [
                    1265585806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295403525"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1295403525
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356335145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1356335145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366922023"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.12,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1366922023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376575654"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 168.48,
                  "npi": [
                    1376575654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386036069"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1386036069
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427538610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.92,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1427538610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558798405"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.76,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1558798405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619423704"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.02,
              "providers": [
                {
                  "billed_charge": 109.2,
                  "npi": [
                    1619423704
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619625456"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1619625456
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1619625456
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639994825"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1639994825
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1639994825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659380459"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.76,
              "providers": [
                {
                  "billed_charge": 122.76,
                  "npi": [
                    1659380459
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720970304"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1720970304
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750352332"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.58,
              "providers": [
                {
                  "billed_charge": 141.0,
                  "npi": [
                    1750352332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790776532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1790776532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801198023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.2,
              "providers": [
                {
                  "billed_charge": 127.2,
                  "npi": [
                    1801198023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831551670"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1831551670
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841022282"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1841022282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902897994"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.6,
              "providers": [
                {
                  "billed_charge": 107.6,
                  "npi": [
                    1902897994
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912673419"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1912673419
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962581157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1962581157
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003358235"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.38,
              "providers": [
                {
                  "billed_charge": 30.38,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.76,
              "providers": [
                {
                  "billed_charge": 30.76,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.92,
              "providers": [
                {
                  "billed_charge": 36.92,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184096232"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.62,
              "providers": [
                {
                  "billed_charge": 24.62,
                  "npi": [
                    1184096232
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.22,
              "providers": [
                {
                  "billed_charge": 49.22,
                  "npi": [
                    1184096232
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295080026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.58,
              "providers": [
                {
                  "billed_charge": 128.58,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295130615"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1295130615
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528444940"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.77,
              "providers": [
                {
                  "billed_charge": 30.77,
                  "npi": [
                    1528444940
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063447514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.49,
              "providers": [
                {
                  "billed_charge": 97.49,
                  "npi": [
                    1063447514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124424205"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.29,
              "providers": [
                {
                  "billed_charge": 35.29,
                  "npi": [
                    1124424205
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124740733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.43,
              "providers": [
                {
                  "billed_charge": 84.43,
                  "npi": [
                    1124740733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144822198"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.56,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1144822198
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164571337"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.81,
              "providers": [
                {
                  "billed_charge": 22.81,
                  "npi": [
                    1164571337
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1164571337
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205945888"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.3,
              "providers": [
                {
                  "billed_charge": 27.3,
                  "npi": [
                    1205945888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235434283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.65,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 39.81,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 103.0,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.3,
              "providers": [
                {
                  "billed_charge": 23.3,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.88,
              "providers": [
                {
                  "billed_charge": 25.88,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.02,
              "providers": [
                {
                  "billed_charge": 26.02,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.81,
              "providers": [
                {
                  "billed_charge": 39.81,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285772475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.59,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1285772475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1285772475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316517576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.11,
              "providers": [
                {
                  "billed_charge": 27.11,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.98,
              "providers": [
                {
                  "billed_charge": 27.98,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.86,
              "providers": [
                {
                  "billed_charge": 30.86,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.89,
              "providers": [
                {
                  "billed_charge": 30.89,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497989479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.54,
              "providers": [
                {
                  "billed_charge": 115.54,
                  "npi": [
                    1497989479
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.5,
              "providers": [
                {
                  "billed_charge": 117.5,
                  "npi": [
                    1497989479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689155145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.28,
              "providers": [
                {
                  "billed_charge": 24.28,
                  "npi": [
                    1689155145
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1689155145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689633638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1689633638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700301561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1700301561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700853041"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.6,
              "providers": [
                {
                  "billed_charge": 78.8,
                  "npi": [
                    1700853041
                  ]
                },
                {
                  "billed_charge": 78.84,
                  "npi": [
                    1700853041
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942395660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1942395660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972221174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 21.11,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.11,
              "providers": [
                {
                  "billed_charge": 21.11,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.87,
              "providers": [
                {
                  "billed_charge": 24.63,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 93.0,
              "providers": [
                {
                  "billed_charge": 107.0,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982781886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1982781886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1154510287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1154510287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1154510287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396616181"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1396616181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487945143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.14,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1487945143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669013611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1669013611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730876632"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1730876632
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881990869"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 390.0,
              "providers": [
                {
                  "billed_charge": 390.0,
                  "npi": [
                    1881990869
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891030862"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1891030862
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1891030862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891814570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1891814570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 39.5,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 55.3,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.2,
              "providers": [
                {
                  "billed_charge": 43.2,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164492195"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 67.57,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 67.57,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225110497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.27,
              "providers": [
                {
                  "billed_charge": 31.08,
                  "npi": [
                    1225110497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225361181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1225361181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 52.5,
              "providers": [
                {
                  "billed_charge": 52.5,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548296106"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1548296106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.27,
              "providers": [
                {
                  "billed_charge": 147.15,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720159338"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.27,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1720159338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760940316"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1760940316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.41,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.82,
              "providers": [
                {
                  "billed_charge": 0.82,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831600295"
          },
          "service_code": [
            "81",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1831600295
                  ]
                },
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.55,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 114.14,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 21.37,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.37,
              "providers": [
                {
                  "billed_charge": 21.37,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972535052"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972535052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972971265"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1972971265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982784534"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1982784534
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure iron level",
      "billing_code_type": "CPT",
      "billing_code": "83540",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure iron level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.4,
              "providers": [
                {
                  "billed_charge": 14.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 48.96,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.4,
              "providers": [
                {
                  "billed_charge": 14.4,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.56,
              "providers": [
                {
                  "billed_charge": 14.56,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.56,
              "providers": [
                {
                  "billed_charge": 14.56,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure uric acid",
      "billing_code_type": "CPT",
      "billing_code": "84550",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure uric acid",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.6,
              "providers": [
                {
                  "billed_charge": 9.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.17,
              "providers": [
                {
                  "billed_charge": 10.17,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.52,
              "providers": [
                {
                  "billed_charge": 4.52,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073927117"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.37,
              "providers": [
                {
                  "billed_charge": 40.37,
                  "npi": [
                    1073927117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144543877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1144543877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 17.5,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.89,
              "providers": [
                {
                  "billed_charge": 10.89,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.49,
              "providers": [
                {
                  "billed_charge": 13.49,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.37,
              "providers": [
                {
                  "billed_charge": 40.37,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.78,
              "providers": [
                {
                  "billed_charge": 58.78,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215564737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1215564737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386361756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1386361756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346496"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1457346496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "23",
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.49,
              "providers": [
                {
                  "billed_charge": 13.49,
                  "npi": [
                    1508848300
                  ]
                },
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538184635"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1538184635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568087708"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.66,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1568087708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609816123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.54,
              "providers": [
                {
                  "billed_charge": 8.54,
                  "npi": [
                    1609816123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679632137"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1679632137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780638833"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1780638833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912521782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1912521782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatric diagnostic evaluation",
      "billing_code_type": "CPT",
      "billing_code": "90791",
      "billing_code_type_version": "2026",
      "description": "Psychiatric diagnostic evaluation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033845276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1033845276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053502674"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1053502674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093713844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1093713844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124345152"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1124345152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174007934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1174007934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205053154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 258.52,
              "providers": [
                {
                  "billed_charge": 258.52,
                  "npi": [
                    1205053154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215181300"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1215181300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235721051"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1235721051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245012558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1245012558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255656773"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1255656773
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396250338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1396250338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477003143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 254.0,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1477003143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508516634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1508516634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518658517"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1518658517
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518675180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538104633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1538104633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588998595"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1588998595
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710539580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1710539580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710974035"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1710974035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730654047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1730654047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740130962"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1740130962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760171896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1760171896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831554872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1831554872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831695469"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1831695469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891022745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1891022745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902665698"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952916363"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1952916363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962474932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1962474932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1962474932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982809521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1982809521
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053110619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1053110619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063463768"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1063463768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093997017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1093997017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104897859"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1104897859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114283058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1114283058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124118062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124118062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144289596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.94,
              "providers": [
                {
                  "billed_charge": 13.94,
                  "npi": [
                    1144289596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174551147"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1174551147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194740787"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1194740787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255313664"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1255313664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306938071"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1306938071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326108903"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 30.43,
                  "npi": [
                    1326108903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376575514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1376575514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437122009"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437122009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380444"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1558380444
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568460772"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 390.0,
                  "npi": [
                    1568460772
                  ]
                }
              ]
            },
            {
              "allowed_amount": 273.0,
              "providers": [
                {
                  "billed_charge": 273.0,
                  "npi": [
                    1568460772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649225129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1649225129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669427258"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1669427258
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699874248"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1699874248
                  ]
                },
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1699874248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 21.12,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841242542"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1841242542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891732988"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1891732988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942505102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1942505102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942526298"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1942526298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982606992"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 127.0,
                  "npi": [
                    1982606992
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245283993"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 39.2,
                  "npi": [
                    1245283993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.69,
              "providers": [
                {
                  "billed_charge": 36.48,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.99,
              "providers": [
                {
                  "billed_charge": 16.99,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.85,
              "providers": [
                {
                  "billed_charge": 21.85,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.85,
              "providers": [
                {
                  "billed_charge": 21.85,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.69,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023049236"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 166.0,
                  "npi": [
                    1023049236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 53.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 419.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 26.5,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 53.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386361756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1386361756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346496"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1457346496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609816123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.54,
              "providers": [
                {
                  "billed_charge": 8.54,
                  "npi": [
                    1609816123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912521782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1912521782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003476961"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1003476961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023071867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1023071867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023229143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.26,
              "providers": [
                {
                  "billed_charge": 12.26,
                  "npi": [
                    1023229143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033886361"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1033886361
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104966050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.03,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1104966050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124073879"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124073879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164471116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235576695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1235576695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255380127"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 25.2,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 25.2,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265486278"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1265486278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326275249"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1326275249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336100858"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.2,
              "providers": [
                {
                  "billed_charge": 6.2,
                  "npi": [
                    1336100858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366443368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.38,
              "providers": [
                {
                  "billed_charge": 9.38,
                  "npi": [
                    1366443368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366483257"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1366483257
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376504084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.19,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1376504084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.2,
              "providers": [
                {
                  "billed_charge": 18.2,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259627"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447259627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447554084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.8,
              "providers": [
                {
                  "billed_charge": 10.8,
                  "npi": [
                    1447554084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457671398"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1457671398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 42.33,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467427674"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588868947"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.38,
              "providers": [
                {
                  "billed_charge": 6.38,
                  "npi": [
                    1588868947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 22.5,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649248626"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1649248626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.35,
              "providers": [
                {
                  "billed_charge": 3.35,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659523207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1659523207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.3,
              "providers": [
                {
                  "billed_charge": 6.3,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700994977"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1700994977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.6,
              "providers": [
                {
                  "billed_charge": 9.6,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720051717"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1720051717
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750840062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760118483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.11,
              "providers": [
                {
                  "billed_charge": 7.11,
                  "npi": [
                    1760118483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780429076"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780429076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790888089"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 148.0,
                  "npi": [
                    1790888089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821011248"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.75,
              "providers": [
                {
                  "billed_charge": 61.75,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831378249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.07,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1831378249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841408283"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 9.12,
                  "npi": [
                    1841408283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851343909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 868.0,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902219348"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1902219348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922468156"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1922468156
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942200175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 28.67,
                  "npi": [
                    1942200175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.8,
              "providers": [
                {
                  "billed_charge": 61.8,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982666111"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1982666111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992764419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1992764419
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for uv skin treatment",
      "billing_code_type": "CPT",
      "billing_code": "96900",
      "billing_code_type_version": "2026",
      "description": "Provider fee for uv skin treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013038876"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1013038876
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013401710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1013401710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114022167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.75,
              "providers": [
                {
                  "billed_charge": 204.45,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134144801"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.14,
              "providers": [
                {
                  "billed_charge": 179.95,
                  "npi": [
                    1134144801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154889350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.58,
              "providers": [
                {
                  "billed_charge": 91.58,
                  "npi": [
                    1154889350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174827919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174827919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215080809"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.2,
              "providers": [
                {
                  "billed_charge": 83.2,
                  "npi": [
                    1215080809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215916119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.5,
              "providers": [
                {
                  "billed_charge": 110.5,
                  "npi": [
                    1215916119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225268915"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1225268915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245298017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1245298017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407320690"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407320690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427738202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.2,
              "providers": [
                {
                  "billed_charge": 83.2,
                  "npi": [
                    1427738202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437607686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 242.0,
                  "npi": [
                    1437607686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467509919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.46,
              "providers": [
                {
                  "billed_charge": 118.3,
                  "npi": [
                    1467509919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518612811"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.43,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1518612811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548468002"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.02,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1548468002
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578356838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1578356838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598212847"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 185.5,
                  "npi": [
                    1598212847
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598926263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.68,
              "providers": [
                {
                  "billed_charge": 55.68,
                  "npi": [
                    1598926263
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.95,
              "providers": [
                {
                  "billed_charge": 144.95,
                  "npi": [
                    1598926263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699748608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.58,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699748608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710540513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1710540513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740535657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 242.0,
                  "npi": [
                    1740535657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740606276"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.92,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1740606276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740741651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.76,
              "providers": [
                {
                  "billed_charge": 177.76,
                  "npi": [
                    1740741651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821218652"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1821218652
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851335228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.75,
              "providers": [
                {
                  "billed_charge": 99.75,
                  "npi": [
                    1851335228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881799880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1881799880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932778131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1932778131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942254347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1942254347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962684886"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1962684886
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013229061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1013229061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 204.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1013229061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.65,
              "providers": [
                {
                  "billed_charge": 93.0,
                  "npi": [
                    1033154026
                  ]
                },
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.77,
              "providers": [
                {
                  "billed_charge": 127.84,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "22",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.77,
              "providers": [
                {
                  "billed_charge": 127.84,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1073688354
                  ]
                },
                {
                  "billed_charge": 379.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124043120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1124043120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 535.66,
              "providers": [
                {
                  "billed_charge": 535.66,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134633761"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1134633761
                  ]
                }
              ]
            },
            {
              "allowed_amount": 183.91,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1134633761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174924872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1174924872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174967368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1174967368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184008070"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1184008070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194958223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1194958223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205037603"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1205037603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235422403"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235422403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255952909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1255952909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306084082"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1306084082
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427388131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1427388131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427468289"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1427468289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427679067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.85,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467833673"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.6,
              "providers": [
                {
                  "billed_charge": 90.6,
                  "npi": [
                    1467833673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487134581"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 338.0,
              "providers": [
                {
                  "billed_charge": 400.0,
                  "npi": [
                    1487134581
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528143492"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.23,
              "providers": [
                {
                  "billed_charge": 89.23,
                  "npi": [
                    1528143492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528441110"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1528441110
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548268527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 107.0,
                  "npi": [
                    1548268527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558974451"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.4,
              "providers": [
                {
                  "billed_charge": 102.4,
                  "npi": [
                    1558974451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568044063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.9,
              "providers": [
                {
                  "billed_charge": 107.9,
                  "npi": [
                    1568044063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578057485"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.24,
              "providers": [
                {
                  "billed_charge": 66.24,
                  "npi": [
                    1578057485
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578605440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1578605440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598925638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.04,
              "providers": [
                {
                  "billed_charge": 117.04,
                  "npi": [
                    1598925638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629350301"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.45,
              "providers": [
                {
                  "billed_charge": 136.45,
                  "npi": [
                    1629350301
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.96,
              "providers": [
                {
                  "billed_charge": 89.96,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649482936"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1649482936
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659504785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1659504785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077364"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1689077364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689771933"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 222.43,
              "providers": [
                {
                  "billed_charge": 227.43,
                  "npi": [
                    1689771933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699819003"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.8,
              "providers": [
                {
                  "billed_charge": 31.8,
                  "npi": [
                    1699819003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699967513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1699967513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720581507"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1720581507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750317228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750327565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1750327565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790708741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.43,
              "providers": [
                {
                  "billed_charge": 91.43,
                  "npi": [
                    1790708741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 227.43,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831503853"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1831503853
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            },
            {
              "allowed_amount": 193.22,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871099663"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.55,
              "providers": [
                {
                  "billed_charge": 198.75,
                  "npi": [
                    1871099663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871930917"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1871930917
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891747283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.15,
              "providers": [
                {
                  "billed_charge": 109.15,
                  "npi": [
                    1891747283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902343031"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1902343031
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902886492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 123.0,
                  "npi": [
                    1902886492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902931769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.2,
              "providers": [
                {
                  "billed_charge": 111.2,
                  "npi": [
                    1902931769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912308024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1912308024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942653019"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1942653019
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992799167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1992799167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033312111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1033312111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043397292"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1043397292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114902137"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1114902137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205942406"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.59,
              "providers": [
                {
                  "billed_charge": 2.59,
                  "npi": [
                    1205942406
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.39,
              "providers": [
                {
                  "billed_charge": 78.39,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.05,
              "providers": [
                {
                  "billed_charge": 11.05,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376595728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1376595728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427068634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1427068634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 29.13,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 44.24,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.82,
              "providers": [
                {
                  "billed_charge": 77.35,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720048143"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.28,
                  "npi": [
                    1720048143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 16.03,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902918030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ear, nose, & throat doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Ear, nose, & throat doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023179777"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.05,
              "providers": [
                {
                  "billed_charge": 138.05,
                  "npi": [
                    1023179777
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053462325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1053462325
                  ]
                }
              ]
            },
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1053462325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083874119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1083874119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 241.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164876272"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1164876272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205806171"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.3,
              "providers": [
                {
                  "billed_charge": 195.3,
                  "npi": [
                    1205806171
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316175128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.21,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1316175128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396197661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1396197661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396730222"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.5,
              "providers": [
                {
                  "billed_charge": 120.5,
                  "npi": [
                    1396730222
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417007212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1417007212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417910431"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1417910431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437632478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1437632478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467641381"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1467641381
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1467641381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497371496"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1497371496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548349186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1548349186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558667691"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1558667691
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588118574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.13,
              "providers": [
                {
                  "billed_charge": 290.13,
                  "npi": [
                    1588118574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629092473"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.5,
              "providers": [
                {
                  "billed_charge": 87.5,
                  "npi": [
                    1629092473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659666337"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1659666337
                  ]
                }
              ]
            },
            {
              "allowed_amount": 209.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1659666337
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659858454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.74,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1659858454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689610149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700170313"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1700170313
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720579188"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.39,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1720579188
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811966831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1811966831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851343289"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.55,
              "providers": [
                {
                  "billed_charge": 95.55,
                  "npi": [
                    1851343289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851439830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1851439830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902053507"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1902053507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932171634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.12,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1932171634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942310917"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1942310917
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin b12",
      "billing_code_type": "CPT",
      "billing_code": "82607",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin b12",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.8,
              "providers": [
                {
                  "billed_charge": 32.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.93,
              "providers": [
                {
                  "billed_charge": 33.93,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.26,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy evaluation",
      "billing_code_type": "CPT",
      "billing_code": "97161",
      "billing_code_type_version": "2026",
      "description": "Physical therapy evaluation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1215921259"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1215921259
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396781795"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396781795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 211.19,
              "providers": [
                {
                  "billed_charge": 211.19,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.12,
              "providers": [
                {
                  "billed_charge": 47.12,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.1,
              "providers": [
                {
                  "billed_charge": 54.1,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558555805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1558555805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.66,
              "providers": [
                {
                  "billed_charge": 177.66,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821085028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.38,
              "providers": [
                {
                  "billed_charge": 9.38,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.56,
              "providers": [
                {
                  "billed_charge": 44.56,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.11,
              "providers": [
                {
                  "billed_charge": 54.11,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.61,
              "providers": [
                {
                  "billed_charge": 157.61,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053393181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.8,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1053393181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154636066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.4,
              "providers": [
                {
                  "billed_charge": 59.4,
                  "npi": [
                    1154636066
                  ]
                }
              ]
            },
            {
              "allowed_amount": 83.4,
              "providers": [
                {
                  "billed_charge": 83.4,
                  "npi": [
                    1154636066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437980174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.8,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1437980174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679570352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710982145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1710982145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.8,
              "providers": [
                {
                  "billed_charge": 159.8,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            },
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.58,
              "providers": [
                {
                  "billed_charge": 12.58,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.58,
              "providers": [
                {
                  "billed_charge": 12.58,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.76,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225361181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1225361181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.24,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.35,
              "providers": [
                {
                  "billed_charge": 23.35,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548212988"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.46,
              "providers": [
                {
                  "billed_charge": 23.46,
                  "npi": [
                    1548212988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.41,
              "providers": [
                {
                  "billed_charge": 8.41,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.24,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689663130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.7,
              "providers": [
                {
                  "billed_charge": 13.7,
                  "npi": [
                    1689663130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.45,
              "providers": [
                {
                  "billed_charge": 10.45,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750368700"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1750368700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.25,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801884655"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1801884655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.66,
              "providers": [
                {
                  "billed_charge": 36.66,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1164014874"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1164014874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336638758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1336638758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356796643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1356796643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396381232"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1396381232
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427461763"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1427461763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629791363"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1629791363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811915713"
          },
          "service_code": [
            "02",
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1811915713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881990869"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1881990869
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962813444"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 327.04,
              "providers": [
                {
                  "billed_charge": 327.04,
                  "npi": [
                    1962813444
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1285354647"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.26,
              "providers": [
                {
                  "billed_charge": 29.26,
                  "npi": [
                    1285354647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508538158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1508538158
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1508538158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548932619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1548932619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700363686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.95,
              "providers": [
                {
                  "billed_charge": 28.95,
                  "npi": [
                    1700363686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962669275"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.95,
              "providers": [
                {
                  "billed_charge": 28.95,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.74,
              "providers": [
                {
                  "billed_charge": 36.13,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 36.76,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 37.39,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 37.95,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 51.32,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 60.15,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.26,
              "providers": [
                {
                  "billed_charge": 29.26,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083389894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 544.0,
              "providers": [
                {
                  "billed_charge": 544.0,
                  "npi": [
                    1083389894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285621631"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 544.0,
                  "npi": [
                    1285621631
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649998824"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1649998824
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740772268"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1740772268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831594514"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1831594514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891255675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.4,
                  "npi": [
                    1891255675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for thyroid stimulating hormone (tsh) test",
      "billing_code_type": "CPT",
      "billing_code": "84443",
      "billing_code_type_version": "2026",
      "description": "Lab fee for thyroid stimulating hormone (tsh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.8,
              "providers": [
                {
                  "billed_charge": 37.8,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437222312"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.69,
              "providers": [
                {
                  "billed_charge": 25.2,
                  "npi": [
                    1437222312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.69,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.8,
              "providers": [
                {
                  "billed_charge": 37.8,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.69,
              "providers": [
                {
                  "billed_charge": 79.71,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 54.52,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.69,
              "providers": [
                {
                  "billed_charge": 54.52,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.52,
              "providers": [
                {
                  "billed_charge": 54.52,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.69,
              "providers": [
                {
                  "billed_charge": 57.97,
                  "npi": [
                    1912954553
                  ]
                },
                {
                  "billed_charge": 57.98,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073690509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.5,
              "providers": [
                {
                  "billed_charge": 22.5,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073779377"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.77,
              "providers": [
                {
                  "billed_charge": 9.77,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.92,
              "providers": [
                {
                  "billed_charge": 17.92,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.32,
              "providers": [
                {
                  "billed_charge": 20.32,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.48,
              "providers": [
                {
                  "billed_charge": 23.48,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.94,
              "providers": [
                {
                  "billed_charge": 35.94,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336226851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.5,
              "providers": [
                {
                  "billed_charge": 22.5,
                  "npi": [
                    1336226851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.46,
              "providers": [
                {
                  "billed_charge": 46.46,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 59.83,
              "providers": [
                {
                  "billed_charge": 59.83,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 119.66,
              "providers": [
                {
                  "billed_charge": 119.66,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 192.3,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.66,
              "providers": [
                {
                  "billed_charge": 192.3,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578087086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1578087086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 159.54,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730890559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1730890559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Cardiologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Cardiologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043067598"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.7,
              "providers": [
                {
                  "billed_charge": 177.31,
                  "npi": [
                    1043067598
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053090647"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 210.14,
                  "npi": [
                    1053090647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083688980"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.26,
              "providers": [
                {
                  "billed_charge": 164.0,
                  "npi": [
                    1083688980
                  ]
                }
              ]
            },
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1083688980
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093116394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1093116394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093714826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1093714826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093919664"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 280.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1093919664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114264488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.68,
              "providers": [
                {
                  "billed_charge": 239.2,
                  "npi": [
                    1114264488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114963675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1114963675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154818623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1154818623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215112016"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1215112016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235148727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.2,
              "providers": [
                {
                  "billed_charge": 675.0,
                  "npi": [
                    1235148727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265479059"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.68,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1265479059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285425389"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.42,
              "providers": [
                {
                  "billed_charge": 215.42,
                  "npi": [
                    1285425389
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306392394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.6,
              "providers": [
                {
                  "billed_charge": 210.6,
                  "npi": [
                    1306392394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316384316"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1316384316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326484999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.31,
              "providers": [
                {
                  "billed_charge": 124.31,
                  "npi": [
                    1326484999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346608809"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1346608809
                  ]
                }
              ]
            },
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1346608809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346683695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.15,
              "providers": [
                {
                  "billed_charge": 196.7,
                  "npi": [
                    1346683695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356309314"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1356309314
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366419574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.5,
              "providers": [
                {
                  "billed_charge": 196.7,
                  "npi": [
                    1366419574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417241902"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.26,
              "providers": [
                {
                  "billed_charge": 280.2,
                  "npi": [
                    1417241902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417312075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.02,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1417312075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.31,
              "providers": [
                {
                  "billed_charge": 140.31,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427052026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1427052026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427595313"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.02,
              "providers": [
                {
                  "billed_charge": 282.74,
                  "npi": [
                    1427595313
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437359429"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 176.44,
              "providers": [
                {
                  "billed_charge": 176.44,
                  "npi": [
                    1437359429
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467486563"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.51,
              "providers": [
                {
                  "billed_charge": 188.51,
                  "npi": [
                    1467486563
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467710640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.49,
              "providers": [
                {
                  "billed_charge": 131.49,
                  "npi": [
                    1467710640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508799222"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.5,
              "providers": [
                {
                  "billed_charge": 164.5,
                  "npi": [
                    1508799222
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548226988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.63,
              "providers": [
                {
                  "billed_charge": 265.18,
                  "npi": [
                    1548226988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548271026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1548271026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568113645"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1568113645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568499390"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1568499390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568691780"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 266.0,
              "providers": [
                {
                  "billed_charge": 266.0,
                  "npi": [
                    1568691780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578564043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.99,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1578564043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598223844"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 182.41,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1598223844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598970998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 266.0,
                  "npi": [
                    1598970998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639572290"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.83,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1639572290
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639696529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1639696529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639946700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1639946700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669837464"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.53,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1669837464
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679541585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1679541585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689902231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1689902231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689924904"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1689924904
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699069732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.2,
              "providers": [
                {
                  "billed_charge": 157.2,
                  "npi": [
                    1699069732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720648355"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1720648355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730821208"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.78,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1730821208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740920180"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1740920180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750686382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.87,
              "providers": [
                {
                  "billed_charge": 106.87,
                  "npi": [
                    1750686382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821483132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 146.0,
                  "npi": [
                    1821483132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1821483132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831415793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1831415793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831647122"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.05,
              "providers": [
                {
                  "billed_charge": 114.05,
                  "npi": [
                    1831647122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851633390"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 276.8,
              "providers": [
                {
                  "billed_charge": 280.8,
                  "npi": [
                    1851633390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851756506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1851756506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861586430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1861586430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871677880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1871677880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871998963"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 207.0,
                  "npi": [
                    1871998963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891094884"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1891094884
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922289412"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1922289412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922580133"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1922580133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982998068"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 266.0,
              "providers": [
                {
                  "billed_charge": 266.0,
                  "npi": [
                    1982998068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992178693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.7,
              "providers": [
                {
                  "billed_charge": 202.95,
                  "npi": [
                    1992178693
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992363311"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 265.0,
                  "npi": [
                    1992363311
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992389068"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.18,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1992389068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992971758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.66,
              "providers": [
                {
                  "billed_charge": 136.66,
                  "npi": [
                    1992971758
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure total prostate specific antigen (psa)",
      "billing_code_type": "CPT",
      "billing_code": "84153",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure total prostate specific antigen (psa)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.8,
              "providers": [
                {
                  "billed_charge": 36.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.38,
              "providers": [
                {
                  "billed_charge": 41.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.38,
              "providers": [
                {
                  "billed_charge": 41.38,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 51.23,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023646395"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1023646395
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1023646395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093602559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1093602559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174944615"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1174944615
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194243246"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 155.01,
                  "npi": [
                    1194243246
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407362445"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407362445
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407362445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871964478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1871964478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972055176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1972055176
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Headgear for CPAP",
      "billing_code_type": "HCPCS",
      "billing_code": "A7035",
      "billing_code_type_version": "2026",
      "description": "Headgear for CPAP",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013529528"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.8,
              "providers": [
                {
                  "billed_charge": 13.8,
                  "npi": [
                    1013529528
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114302486"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1114302486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295150308"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.23,
              "providers": [
                {
                  "billed_charge": 18.23,
                  "npi": [
                    1295150308
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679682272"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1679682272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750499570"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1750499570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760806731"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 25.84,
                  "npi": [
                    1760806731
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831715739"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.29,
              "providers": [
                {
                  "billed_charge": 10.29,
                  "npi": [
                    1831715739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972554939"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.72,
              "providers": [
                {
                  "billed_charge": 20.72,
                  "npi": [
                    1972554939
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Electrical stimulation therapy",
      "billing_code_type": "CPT",
      "billing_code": "97014",
      "billing_code_type_version": "2026",
      "description": "Electrical stimulation therapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013052174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.35,
              "providers": [
                {
                  "billed_charge": 13.35,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013258912"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.92,
              "providers": [
                {
                  "billed_charge": 14.92,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326540105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1326540105
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.22,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1326540105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437677663"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1437677663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609899061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.92,
              "providers": [
                {
                  "billed_charge": 14.92,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.02,
              "providers": [
                {
                  "billed_charge": 18.02,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629258959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.84,
              "providers": [
                {
                  "billed_charge": 10.84,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.85,
              "providers": [
                {
                  "billed_charge": 10.85,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.02,
              "providers": [
                {
                  "billed_charge": 14.02,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710400874"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.92,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1710400874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811089147"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.12,
              "providers": [
                {
                  "billed_charge": 5.12,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.14,
              "providers": [
                {
                  "billed_charge": 7.14,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831110048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1831110048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.46,
              "providers": [
                {
                  "billed_charge": 8.46,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.58,
              "providers": [
                {
                  "billed_charge": 8.58,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.33,
              "providers": [
                {
                  "billed_charge": 9.33,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.37,
              "providers": [
                {
                  "billed_charge": 9.37,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.6,
              "providers": [
                {
                  "billed_charge": 12.6,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.66,
              "providers": [
                {
                  "billed_charge": 18.66,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.92,
              "providers": [
                {
                  "billed_charge": 22.62,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912925249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.92,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1912925249
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Well-child visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99392",
      "billing_code_type_version": "2026",
      "description": "Well-child visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013156710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1013156710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.05,
              "providers": [
                {
                  "billed_charge": 156.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.05,
              "providers": [
                {
                  "billed_charge": 156.05,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.6,
              "providers": [
                {
                  "billed_charge": 165.6,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255921326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1255921326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437151776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1437151776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.05,
              "providers": [
                {
                  "billed_charge": 156.05,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962457838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1962457838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.38,
              "providers": [
                {
                  "billed_charge": 55.38,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 72.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 78.97,
              "providers": [
                {
                  "billed_charge": 78.97,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for pap smear",
      "billing_code_type": "CPT",
      "billing_code": "88175",
      "billing_code_type_version": "2026",
      "description": "Lab fee for pap smear",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124075635"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.26,
              "providers": [
                {
                  "billed_charge": 33.26,
                  "npi": [
                    1124075635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164475703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1164475703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.79,
              "providers": [
                {
                  "billed_charge": 43.79,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.79,
              "providers": [
                {
                  "billed_charge": 43.79,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.79,
              "providers": [
                {
                  "billed_charge": 43.79,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326999491"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.61,
              "providers": [
                {
                  "billed_charge": 26.61,
                  "npi": [
                    1326999491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356560569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.0,
              "providers": [
                {
                  "billed_charge": 64.0,
                  "npi": [
                    1356560569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376504084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.0,
              "providers": [
                {
                  "billed_charge": 51.0,
                  "npi": [
                    1376504084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649385436"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1649385436
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720946858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.0,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1720946858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.79,
              "providers": [
                {
                  "billed_charge": 43.79,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750373908"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1750373908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760457014"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.0,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1760457014
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.61,
              "providers": [
                {
                  "billed_charge": 26.61,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.79,
              "providers": [
                {
                  "billed_charge": 43.79,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.61,
              "providers": [
                {
                  "billed_charge": 26.61,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962481820"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1962481820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992375000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1992375000
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992764419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1992764419
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.8,
              "providers": [
                {
                  "billed_charge": 6.8,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.62,
              "providers": [
                {
                  "billed_charge": 12.62,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.62,
              "providers": [
                {
                  "billed_charge": 39.62,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 44.24,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467675629"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 80.1,
                  "npi": [
                    1467675629
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.08,
              "providers": [
                {
                  "billed_charge": 116.15,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.74,
              "providers": [
                {
                  "billed_charge": 8.74,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659504785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 61.0,
                  "npi": [
                    1659504785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811125644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1811125644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003200031"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.15,
              "providers": [
                {
                  "billed_charge": 23.15,
                  "npi": [
                    1003200031
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194434803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194434803
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1194434803
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1194434803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.11,
              "providers": [
                {
                  "billed_charge": 28.11,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.23,
              "providers": [
                {
                  "billed_charge": 36.23,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.68,
              "providers": [
                {
                  "billed_charge": 54.68,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 72.46,
              "providers": [
                {
                  "billed_charge": 72.46,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316643901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1316643901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326205543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.01,
              "providers": [
                {
                  "billed_charge": 17.01,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.87,
              "providers": [
                {
                  "billed_charge": 22.87,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.8,
              "providers": [
                {
                  "billed_charge": 32.8,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376086850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1376086850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396139317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.29,
              "providers": [
                {
                  "billed_charge": 18.29,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.15,
              "providers": [
                {
                  "billed_charge": 23.15,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.65,
              "providers": [
                {
                  "billed_charge": 48.65,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 97.29,
              "providers": [
                {
                  "billed_charge": 97.29,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 188.12,
              "providers": [
                {
                  "billed_charge": 188.12,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538649611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 14.89,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.15,
              "providers": [
                {
                  "billed_charge": 23.15,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.43,
              "providers": [
                {
                  "billed_charge": 29.43,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538828306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558831776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.32,
              "providers": [
                {
                  "billed_charge": 17.32,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.42,
              "providers": [
                {
                  "billed_charge": 29.42,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.43,
              "providers": [
                {
                  "billed_charge": 29.43,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689372559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.88,
              "providers": [
                {
                  "billed_charge": 42.88,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.18,
              "providers": [
                {
                  "billed_charge": 65.18,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.82,
              "providers": [
                {
                  "billed_charge": 74.82,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780460667"
          },
          "service_code": [
            "11",
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.95,
              "providers": [
                {
                  "billed_charge": 155.95,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 161.13,
              "providers": [
                {
                  "billed_charge": 161.13,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 171.94,
              "providers": [
                {
                  "billed_charge": 171.94,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 322.27,
              "providers": [
                {
                  "billed_charge": 322.27,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 334.12,
              "providers": [
                {
                  "billed_charge": 334.12,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841637071"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.86,
              "providers": [
                {
                  "billed_charge": 24.86,
                  "npi": [
                    1841637071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841899325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.71,
              "providers": [
                {
                  "billed_charge": 34.01,
                  "npi": [
                    1841899325
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.39,
              "providers": [
                {
                  "billed_charge": 61.92,
                  "npi": [
                    1841899325
                  ]
                },
                {
                  "billed_charge": 61.93,
                  "npi": [
                    1841899325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851946909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1851946909
                  ]
                },
                {
                  "billed_charge": 376.0,
                  "npi": [
                    1851946909
                  ]
                },
                {
                  "billed_charge": 564.0,
                  "npi": [
                    1851946909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942630272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.67,
              "providers": [
                {
                  "billed_charge": 14.67,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.43,
              "providers": [
                {
                  "billed_charge": 29.43,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.56,
              "providers": [
                {
                  "billed_charge": 46.56,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124078696"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124078696
                  ]
                },
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1124078696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.85,
              "providers": [
                {
                  "billed_charge": 14.85,
                  "npi": [
                    1124078696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184621161"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1184621161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184638942"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1184638942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326371675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1326371675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.24,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.35,
              "providers": [
                {
                  "billed_charge": 9.35,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 24.45,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.24,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.05,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.41,
              "providers": [
                {
                  "billed_charge": 8.41,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.8,
              "providers": [
                {
                  "billed_charge": 5.8,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.5,
              "providers": [
                {
                  "billed_charge": 34.73,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.38,
              "providers": [
                {
                  "billed_charge": 17.38,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679820534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.65,
              "providers": [
                {
                  "billed_charge": 8.65,
                  "npi": [
                    1679820534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.94,
              "providers": [
                {
                  "billed_charge": 14.94,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710916945"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1710916945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Office visit facility fee",
      "billing_code_type": "CPT",
      "billing_code": "99202",
      "billing_code_type_version": "2026",
      "description": "Office visit facility fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003953050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1003953050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093193476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1093193476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164571337"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1164571337
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1164571337
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306155510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.01,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306155510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316147267"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.54,
              "providers": [
                {
                  "billed_charge": 139.36,
                  "npi": [
                    1316147267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356536494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1356536494
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467216044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.38,
              "providers": [
                {
                  "billed_charge": 66.38,
                  "npi": [
                    1467216044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538135207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.62,
              "providers": [
                {
                  "billed_charge": 188.21,
                  "npi": [
                    1538135207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548226988"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1548226988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649394065"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1649394065
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649852336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1649852336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710508593"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1710508593
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750848305"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.32,
              "providers": [
                {
                  "billed_charge": 158.32,
                  "npi": [
                    1750848305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821622440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1821622440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851092092"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1851092092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851756654"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.65,
              "providers": [
                {
                  "billed_charge": 141.65,
                  "npi": [
                    1851756654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922046424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.0,
              "providers": [
                {
                  "billed_charge": 81.0,
                  "npi": [
                    1922046424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932563228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1932563228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.58,
              "providers": [
                {
                  "billed_charge": 150.33,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Brief emotional and behavioral assessment",
      "billing_code_type": "CPT",
      "billing_code": "96127",
      "billing_code_type_version": "2026",
      "description": "Brief emotional and behavioral assessment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.92,
              "providers": [
                {
                  "billed_charge": 6.92,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.83,
              "providers": [
                {
                  "billed_charge": 13.83,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.76,
              "providers": [
                {
                  "billed_charge": 11.76,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.8,
              "providers": [
                {
                  "billed_charge": 8.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407995723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1407995723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.98,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.89,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518966407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1518966407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548212814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1548212814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699700526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1699700526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720281587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1720281587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932407921"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1932407921
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.98,
              "providers": [
                {
                  "billed_charge": 9.22,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023857489"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1023857489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043311715"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043311715
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104016088"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1104016088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144238908"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1144238908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.44,
              "providers": [
                {
                  "billed_charge": 14.44,
                  "npi": [
                    1154377281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164216099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1164216099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235297342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1235297342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265539498"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1265539498
                  ]
                },
                {
                  "billed_charge": 34.2,
                  "npi": [
                    1265539498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285424879"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1285424879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285664268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1285664268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326006438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1326006438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346561677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.92,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1346561677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366479099"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1366479099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386880417"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.42,
              "providers": [
                {
                  "billed_charge": 9.42,
                  "npi": [
                    1386880417
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407897309"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.85,
              "providers": [
                {
                  "billed_charge": 14.85,
                  "npi": [
                    1407897309
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427098169"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1427098169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427687300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.44,
              "providers": [
                {
                  "billed_charge": 4.44,
                  "npi": [
                    1427687300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477531580"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1477531580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487212551"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1487212551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528078581"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.49,
                  "npi": [
                    1528078581
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568646735"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568646735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578620449"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578620449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588656870"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 38.09,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 29.3,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598747651"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1598747651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619913449"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619913449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.41,
              "providers": [
                {
                  "billed_charge": 8.41,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659352276"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1659352276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699979732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1699979732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730540238"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1730540238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730604471"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1730604471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740348929"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1740348929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891294518"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1891294518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912643040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1912643040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942636519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1942636519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992812333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023904760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.6,
              "providers": [
                {
                  "billed_charge": 69.6,
                  "npi": [
                    1023904760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265381495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.1,
              "providers": [
                {
                  "billed_charge": 41.1,
                  "npi": [
                    1265381495
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1265381495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659810943"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.45,
              "providers": [
                {
                  "billed_charge": 21.45,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.12,
              "providers": [
                {
                  "billed_charge": 26.12,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790238418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.09,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1790238418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871107755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1871107755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871760439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.98,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1871760439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922715945"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.67,
              "providers": [
                {
                  "billed_charge": 16.67,
                  "npi": [
                    1922715945
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1922715945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952768236"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.57,
              "providers": [
                {
                  "billed_charge": 47.57,
                  "npi": [
                    1952768236
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023587045"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1023587045
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205025186"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1205025186
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1205025186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235115437"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1235115437
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275533226"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275533226
                  ]
                }
              ]
            },
            {
              "allowed_amount": 89.65,
              "providers": [
                {
                  "billed_charge": 89.65,
                  "npi": [
                    1275533226
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.3,
              "providers": [
                {
                  "billed_charge": 179.3,
                  "npi": [
                    1275533226
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417947490"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 836.0,
                  "npi": [
                    1417947490
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437156247"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 57.54,
                  "npi": [
                    1437156247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1710920327
                  ]
                },
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.31,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.08,
              "providers": [
                {
                  "billed_charge": 31.08,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992738959"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.04,
              "providers": [
                {
                  "billed_charge": 59.04,
                  "npi": [
                    1992738959
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to detect virus by multiple-step immunofluorescent technique",
      "billing_code_type": "CPT",
      "billing_code": "87340",
      "billing_code_type_version": "2026",
      "description": "Lab fee to detect virus by multiple-step immunofluorescent technique",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 87.43,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.24,
              "providers": [
                {
                  "billed_charge": 23.24,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023784287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.8,
              "providers": [
                {
                  "billed_charge": 134.8,
                  "npi": [
                    1023784287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053149351"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.57,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1053149351
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063913713"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 241.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1063913713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073780730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1073780730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 314.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124407044"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 361.0,
                  "npi": [
                    1124407044
                  ]
                }
              ]
            },
            {
              "allowed_amount": 176.73,
              "providers": [
                {
                  "billed_charge": 361.0,
                  "npi": [
                    1124407044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154696003"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1154696003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225127244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1225127244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255403762"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1255403762
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285746750"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1285746750
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295470060"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1295470060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306367503"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 353.01,
                  "npi": [
                    1306367503
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376852566"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376852566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386042703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.33,
              "providers": [
                {
                  "billed_charge": 58.33,
                  "npi": [
                    1386042703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386487296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.81,
              "providers": [
                {
                  "billed_charge": 77.81,
                  "npi": [
                    1386487296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407168099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407168099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417498122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1417498122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417957697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1417957697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437113057"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1437113057
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.11,
              "providers": [
                {
                  "billed_charge": 139.11,
                  "npi": [
                    1437113057
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1437113057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518035583"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 178.0,
                  "npi": [
                    1518035583
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588189195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1588189195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609542836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1609542836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669429577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 337.0,
                  "npi": [
                    1669429577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689834871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.93,
              "providers": [
                {
                  "billed_charge": 139.93,
                  "npi": [
                    1689834871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699968057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.5,
              "providers": [
                {
                  "billed_charge": 274.5,
                  "npi": [
                    1699968057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821732207"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1821732207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902644206"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1902644206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972078095"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.15,
              "providers": [
                {
                  "billed_charge": 189.15,
                  "npi": [
                    1972078095
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982751210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 329.6,
              "providers": [
                {
                  "billed_charge": 329.6,
                  "npi": [
                    1982751210
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Vaccine administration",
      "billing_code_type": "CPT",
      "billing_code": "90460",
      "billing_code_type_version": "2026",
      "description": "Vaccine administration",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013156710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1013156710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.12,
              "providers": [
                {
                  "billed_charge": 33.12,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.24,
              "providers": [
                {
                  "billed_charge": 66.24,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 99.36,
              "providers": [
                {
                  "billed_charge": 99.36,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 132.48,
              "providers": [
                {
                  "billed_charge": 132.48,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.15,
              "providers": [
                {
                  "billed_charge": 28.15,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.12,
              "providers": [
                {
                  "billed_charge": 33.12,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.24,
              "providers": [
                {
                  "billed_charge": 66.24,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 99.36,
              "providers": [
                {
                  "billed_charge": 99.36,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.51,
              "providers": [
                {
                  "billed_charge": 78.51,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.12,
              "providers": [
                {
                  "billed_charge": 33.12,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255921326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1255921326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437151776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437151776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518966407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1518966407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.24,
              "providers": [
                {
                  "billed_charge": 66.24,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679901649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689307993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1689307993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699700526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1699700526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962457838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1962457838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.02,
              "providers": [
                {
                  "billed_charge": 8.02,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.85,
              "providers": [
                {
                  "billed_charge": 13.85,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pediatrician visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Pediatrician visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124411988"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1124411988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144203563"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 352.0,
                  "npi": [
                    1144203563
                  ]
                },
                {
                  "billed_charge": 399.0,
                  "npi": [
                    1144203563
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164960654"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1164960654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205026168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.59,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1205026168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215320098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1215320098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225109838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1225109838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245746783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1245746783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316975782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1316975782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346343761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1346343761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346893369"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1346893369
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386840379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.0,
              "providers": [
                {
                  "billed_charge": 92.0,
                  "npi": [
                    1386840379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417902339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1417902339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417910431"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.56,
              "providers": [
                {
                  "billed_charge": 50.56,
                  "npi": [
                    1417910431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427055821"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.97,
              "providers": [
                {
                  "billed_charge": 59.97,
                  "npi": [
                    1427055821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447358486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.86,
              "providers": [
                {
                  "billed_charge": 149.86,
                  "npi": [
                    1447358486
                  ]
                }
              ]
            },
            {
              "allowed_amount": 151.0,
              "providers": [
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1447358486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457384190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.02,
              "providers": [
                {
                  "billed_charge": 270.76,
                  "npi": [
                    1457384190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598932816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.08,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1598932816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1598932816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609021260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1609021260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639332281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.05,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1639332281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700082211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1700082211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730244872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.59,
              "providers": [
                {
                  "billed_charge": 145.07,
                  "npi": [
                    1730244872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740431253"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.48,
              "providers": [
                {
                  "billed_charge": 147.9,
                  "npi": [
                    1740431253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740488519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1740488519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760839500"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1760839500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.92,
              "providers": [
                {
                  "billed_charge": 75.92,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790560225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1790560225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821112707"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1821112707
                  ]
                }
              ]
            },
            {
              "allowed_amount": 151.5,
              "providers": [
                {
                  "billed_charge": 161.5,
                  "npi": [
                    1821112707
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942254347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.0,
              "providers": [
                {
                  "billed_charge": 192.0,
                  "npi": [
                    1942254347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942799523"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.62,
              "providers": [
                {
                  "billed_charge": 284.0,
                  "npi": [
                    1942799523
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972962710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1972962710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982777876"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1982777876
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.85,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code": "3074F",
      "billing_code_type_version": "2026",
      "description": "3074F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093089831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1093089831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184233454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1184233454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457303802"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457303802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588925457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1588925457
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mammogram",
      "billing_code_type": "CPT",
      "billing_code": "77067",
      "billing_code_type_version": "2026",
      "description": "Mammogram",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013916030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1013916030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.34,
              "providers": [
                {
                  "billed_charge": 136.34,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.14,
              "providers": [
                {
                  "billed_charge": 54.6,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.34,
              "providers": [
                {
                  "billed_charge": 136.34,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.4,
              "providers": [
                {
                  "billed_charge": 278.4,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346299153"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.14,
              "providers": [
                {
                  "billed_charge": 54.6,
                  "npi": [
                    1346299153
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.6,
              "providers": [
                {
                  "billed_charge": 54.6,
                  "npi": [
                    1346299153
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.0,
              "providers": [
                {
                  "billed_charge": 148.0,
                  "npi": [
                    1346299153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.4,
              "providers": [
                {
                  "billed_charge": 278.4,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 208.2,
              "providers": [
                {
                  "billed_charge": 208.2,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.76,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.9,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700950060"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1700950060
                  ]
                },
                {
                  "billed_charge": 318.0,
                  "npi": [
                    1700950060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770668568"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.3,
              "providers": [
                {
                  "billed_charge": 79.3,
                  "npi": [
                    1770668568
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1770668568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.69,
              "providers": [
                {
                  "billed_charge": 51.69,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 333.28,
              "providers": [
                {
                  "billed_charge": 333.28,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for adaptive behavior treatment",
      "billing_code_type": "CPT",
      "billing_code": "97153",
      "billing_code_type_version": "2026",
      "description": "Provider fee for adaptive behavior treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053005645"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 260.32,
              "providers": [
                {
                  "billed_charge": 260.32,
                  "npi": [
                    1053005645
                  ]
                }
              ]
            },
            {
              "allowed_amount": 410.0,
              "providers": [
                {
                  "billed_charge": 410.0,
                  "npi": [
                    1053005645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477932374"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1477932374
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1477932374
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588363824"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1588363824
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588363824
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1588363824
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1588363824
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1588363824
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871356089"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 410.0,
              "providers": [
                {
                  "billed_charge": 410.0,
                  "npi": [
                    1871356089
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure ferritin",
      "billing_code_type": "CPT",
      "billing_code": "82728",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure ferritin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.67,
              "providers": [
                {
                  "billed_charge": 30.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                },
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.67,
              "providers": [
                {
                  "billed_charge": 30.67,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.63,
              "providers": [
                {
                  "billed_charge": 13.63,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Injection of drug",
      "billing_code_type": "CPT",
      "billing_code": "96372",
      "billing_code_type_version": "2026",
      "description": "Injection of drug",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003060369"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1003060369
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043067598"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.06,
              "providers": [
                {
                  "billed_charge": 54.72,
                  "npi": [
                    1043067598
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043298474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.51,
              "providers": [
                {
                  "billed_charge": 21.51,
                  "npi": [
                    1043298474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053740092"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1053740092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.88,
              "providers": [
                {
                  "billed_charge": 22.88,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093468951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1093468951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164471116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205461019"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1205461019
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.21,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1205461019
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 14.5,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255617833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316126139"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.68,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1316126139
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.35,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1316126139
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326424763"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.18,
              "providers": [
                {
                  "billed_charge": 24.18,
                  "npi": [
                    1326424763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528070570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1528070570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548596737"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.22,
              "providers": [
                {
                  "billed_charge": 10.22,
                  "npi": [
                    1548596737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598223844"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598223844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669837464"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1669837464
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700994977"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.95,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1700994977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871677880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1871677880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902593536"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1902593536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912250234"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.58,
              "providers": [
                {
                  "billed_charge": 30.58,
                  "npi": [
                    1912250234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.11,
              "providers": [
                {
                  "billed_charge": 11.11,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.26,
              "providers": [
                {
                  "billed_charge": 24.26,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023021300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.76,
              "providers": [
                {
                  "billed_charge": 165.5,
                  "npi": [
                    1023021300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.05,
              "providers": [
                {
                  "billed_charge": 72.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 116.87,
              "providers": [
                {
                  "billed_charge": 116.87,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053561928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1053561928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063016608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.72,
              "providers": [
                {
                  "billed_charge": 71.72,
                  "npi": [
                    1063016608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073528741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1073528741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104008242"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1104008242
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124197637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.91,
              "providers": [
                {
                  "billed_charge": 172.91,
                  "npi": [
                    1124197637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.0,
              "providers": [
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144386467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1144386467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144513375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1144513375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154565182"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1154565182
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164121513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.34,
              "providers": [
                {
                  "billed_charge": 149.92,
                  "npi": [
                    1164121513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205139623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1205139623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245289172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1245289172
                  ]
                },
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245289172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255052619"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 209.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1255052619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295119436"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.59,
              "providers": [
                {
                  "billed_charge": 118.59,
                  "npi": [
                    1295119436
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366816043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1366816043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427009638"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1427009638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457146250"
          },
          "service_code": [
            "22",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.33,
              "providers": [
                {
                  "billed_charge": 474.65,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            },
            {
              "allowed_amount": 93.29,
              "providers": [
                {
                  "billed_charge": 125.96,
                  "npi": [
                    1457146250
                  ]
                },
                {
                  "billed_charge": 474.65,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457542680"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1457542680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457676736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.3,
              "providers": [
                {
                  "billed_charge": 125.69,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477332336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1477332336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538879069"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.36,
              "providers": [
                {
                  "billed_charge": 136.36,
                  "npi": [
                    1538879069
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558786822"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1558786822
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568519361"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.0,
              "providers": [
                {
                  "billed_charge": 78.0,
                  "npi": [
                    1568519361
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568905800"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1568905800
                  ]
                }
              ]
            },
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1568905800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598940942"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.2,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1598940942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619209145"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1619209145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639268915"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1639268915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639289937"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1639289937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659890218"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.38,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1659890218
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669542643"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1669542643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679578850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1679578850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689822827"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1689822827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700849106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1700849106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710708904"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1710708904
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730691775"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1730691775
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750388930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.5,
              "providers": [
                {
                  "billed_charge": 172.5,
                  "npi": [
                    1750388930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770001877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1770001877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780940858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.02,
              "providers": [
                {
                  "billed_charge": 116.02,
                  "npi": [
                    1780940858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801058631"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1801058631
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.4,
              "providers": [
                {
                  "billed_charge": 101.4,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831661073"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1831661073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861701047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.99,
              "providers": [
                {
                  "billed_charge": 233.0,
                  "npi": [
                    1861701047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902890239"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1902890239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932249323"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1932249323
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952476335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1952476335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952774689"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 139.56,
                  "npi": [
                    1952774689
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982797007"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1982797007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154365062"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154365062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184706152"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 30.08,
                  "npi": [
                    1184706152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.37,
              "providers": [
                {
                  "billed_charge": 13.37,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417037045"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1417037045
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.27,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1417037045
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467089292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.2,
              "providers": [
                {
                  "billed_charge": 9.2,
                  "npi": [
                    1467089292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 23.31,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 35.38,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558346007"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1558346007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619052446"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 17.6,
                  "npi": [
                    1619052446
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710067376"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1710067376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740549450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1740549450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912007931"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1912007931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912232794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1912232794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053972331"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1053972331
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134145261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.49,
              "providers": [
                {
                  "billed_charge": 194.49,
                  "npi": [
                    1134145261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.55,
              "providers": [
                {
                  "billed_charge": 155.55,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154728061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.17,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1154728061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174168843"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1174168843
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1174168843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184790099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 389.61,
                  "npi": [
                    1184790099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215526140"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1215526140
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225060312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1225060312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.12,
              "providers": [
                {
                  "billed_charge": 193.12,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316588544"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1316588544
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396311288"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.44,
              "providers": [
                {
                  "billed_charge": 94.44,
                  "npi": [
                    1396311288
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396805115"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.1,
              "providers": [
                {
                  "billed_charge": 163.1,
                  "npi": [
                    1396805115
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.77,
              "providers": [
                {
                  "billed_charge": 124.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467016774"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.92,
              "providers": [
                {
                  "billed_charge": 79.92,
                  "npi": [
                    1467016774
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508418955"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1508418955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528550241"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1528550241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538647441"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1538647441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558779173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1558779173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578738357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1578738357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659970549"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1659970549
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.73,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750388930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1750388930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 222.0,
              "providers": [
                {
                  "billed_charge": 246.0,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871015578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 221.9,
                  "npi": [
                    1871015578
                  ]
                },
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1871015578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972097707"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1972097707
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 245.0,
                  "npi": [
                    1972097707
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992180772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 384.0,
                  "npi": [
                    1992180772
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code": "3074F",
      "billing_code_type_version": "2026",
      "description": "3074F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063264299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1063264299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104512276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1104512276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497482111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1497482111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881990604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1881990604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912066499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for red blood cell sedimentation rate test",
      "billing_code_type": "CPT",
      "billing_code": "85652",
      "billing_code_type_version": "2026",
      "description": "Lab fee for red blood cell sedimentation rate test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.6,
              "providers": [
                {
                  "billed_charge": 5.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.08,
              "providers": [
                {
                  "billed_charge": 6.08,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.81,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.81,
              "providers": [
                {
                  "billed_charge": 3.81,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023049236"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1023049236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144543877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1144543877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215564737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 19.5,
                  "npi": [
                    1215564737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447311238"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447311238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346496"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 19.5,
                  "npi": [
                    1457346496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538184635"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1538184635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568087708"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1568087708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568697696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 19.5,
                  "npi": [
                    1568697696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609816123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.54,
              "providers": [
                {
                  "billed_charge": 8.54,
                  "npi": [
                    1609816123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679632137"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.74,
              "providers": [
                {
                  "billed_charge": 31.74,
                  "npi": [
                    1679632137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689610149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780638833"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.87,
              "providers": [
                {
                  "billed_charge": 15.87,
                  "npi": [
                    1780638833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure lipase (fat enzyme) level",
      "billing_code_type": "CPT",
      "billing_code": "83690",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure lipase (fat enzyme) level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.5,
              "providers": [
                {
                  "billed_charge": 15.5,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 259.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.11,
              "providers": [
                {
                  "billed_charge": 53.11,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003531096"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1003531096
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.64,
              "providers": [
                {
                  "billed_charge": 154.64,
                  "npi": [
                    1003531096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134300403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1134300403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225921828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1225921828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285993402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1285993402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295977163"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1295977163
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386102580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1386102580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598226656"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1598226656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679875322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.64,
              "providers": [
                {
                  "billed_charge": 154.64,
                  "npi": [
                    1679875322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720561145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.15,
              "providers": [
                {
                  "billed_charge": 93.15,
                  "npi": [
                    1720561145
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1720561145
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.6,
                  "npi": [
                    1720561145
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.6,
              "providers": [
                {
                  "billed_charge": 165.6,
                  "npi": [
                    1720561145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881949899"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1881949899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922897172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.85,
              "providers": [
                {
                  "billed_charge": 113.85,
                  "npi": [
                    1922897172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992519938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1992519938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.15,
              "providers": [
                {
                  "billed_charge": 93.15,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 124.06,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    9999999999
                  ]
                },
                {
                  "billed_charge": 165.6,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.6,
              "providers": [
                {
                  "billed_charge": 165.6,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.04,
              "providers": [
                {
                  "billed_charge": 11.04,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326078866"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.61,
              "providers": [
                {
                  "billed_charge": 6.61,
                  "npi": [
                    1326078866
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 13.8,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.02,
              "providers": [
                {
                  "billed_charge": 21.02,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 17.25,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801884655"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1801884655
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1801884655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.22,
              "providers": [
                {
                  "billed_charge": 12.22,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.02,
              "providers": [
                {
                  "billed_charge": 21.02,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1255068946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.13,
              "providers": [
                {
                  "billed_charge": 36.13,
                  "npi": [
                    1255068946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265381495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.97,
              "providers": [
                {
                  "billed_charge": 23.97,
                  "npi": [
                    1265381495
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1265381495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659499960"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.37,
              "providers": [
                {
                  "billed_charge": 69.37,
                  "npi": [
                    1659499960
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659810943"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.93,
              "providers": [
                {
                  "billed_charge": 21.93,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.48,
              "providers": [
                {
                  "billed_charge": 23.48,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1659810943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790203420"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.58,
              "providers": [
                {
                  "billed_charge": 61.48,
                  "npi": [
                    1790203420
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790238418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.26,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1790238418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811413909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811413909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871107755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1871107755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871760439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.31,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1871760439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902488836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.09,
              "providers": [
                {
                  "billed_charge": 45.09,
                  "npi": [
                    1902488836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922715945"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1922715945
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1922715945
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1922715945
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.33,
              "providers": [
                {
                  "billed_charge": 58.33,
                  "npi": [
                    1922715945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952768236"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.02,
              "providers": [
                {
                  "billed_charge": 111.02,
                  "npi": [
                    1952768236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982797494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.57,
              "providers": [
                {
                  "billed_charge": 25.57,
                  "npi": [
                    1982797494
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.15,
              "providers": [
                {
                  "billed_charge": 55.15,
                  "npi": [
                    1982797494
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure free triiodothyronine (t3)",
      "billing_code_type": "CPT",
      "billing_code": "84481",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure free triiodothyronine (t3)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.8,
              "providers": [
                {
                  "billed_charge": 36.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.12,
              "providers": [
                {
                  "billed_charge": 38.12,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 61.57,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.89,
              "providers": [
                {
                  "billed_charge": 61.57,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.84,
              "providers": [
                {
                  "billed_charge": 61.57,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.94,
              "providers": [
                {
                  "billed_charge": 16.94,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003200031"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.58,
              "providers": [
                {
                  "billed_charge": 26.58,
                  "npi": [
                    1003200031
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174049597"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174049597
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194434803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194434803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.78,
              "providers": [
                {
                  "billed_charge": 40.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316643901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.99,
              "providers": [
                {
                  "billed_charge": 23.99,
                  "npi": [
                    1316643901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326205543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.6,
              "providers": [
                {
                  "billed_charge": 19.6,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396139317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.58,
              "providers": [
                {
                  "billed_charge": 26.58,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.58,
              "providers": [
                {
                  "billed_charge": 70.58,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.04,
              "providers": [
                {
                  "billed_charge": 125.04,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538649611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.58,
              "providers": [
                {
                  "billed_charge": 26.58,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.78,
              "providers": [
                {
                  "billed_charge": 33.78,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.18,
              "providers": [
                {
                  "billed_charge": 34.18,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538828306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558831776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.88,
              "providers": [
                {
                  "billed_charge": 19.88,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.78,
              "providers": [
                {
                  "billed_charge": 33.78,
                  "npi": [
                    1558831776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689372559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.22,
              "providers": [
                {
                  "billed_charge": 49.22,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.18,
              "providers": [
                {
                  "billed_charge": 65.18,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.82,
              "providers": [
                {
                  "billed_charge": 74.82,
                  "npi": [
                    1689372559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780460667"
          },
          "service_code": [
            "11",
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.8,
              "providers": [
                {
                  "billed_charge": 191.8,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 447.55,
              "providers": [
                {
                  "billed_charge": 447.55,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 462.44,
              "providers": [
                {
                  "billed_charge": 462.44,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 479.45,
              "providers": [
                {
                  "billed_charge": 479.45,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 488.22,
              "providers": [
                {
                  "billed_charge": 488.22,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 592.12,
              "providers": [
                {
                  "billed_charge": 592.12,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841899325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.9,
              "providers": [
                {
                  "billed_charge": 29.15,
                  "npi": [
                    1841899325
                  ]
                }
              ]
            },
            {
              "allowed_amount": 52.61,
              "providers": [
                {
                  "billed_charge": 53.07,
                  "npi": [
                    1841899325
                  ]
                },
                {
                  "billed_charge": 53.08,
                  "npi": [
                    1841899325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851946909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1851946909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942630272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.83,
              "providers": [
                {
                  "billed_charge": 16.83,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.78,
              "providers": [
                {
                  "billed_charge": 33.78,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.44,
              "providers": [
                {
                  "billed_charge": 53.44,
                  "npi": [
                    1942630272
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003863580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1003863580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013915255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1013915255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033351226"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.23,
              "providers": [
                {
                  "billed_charge": 4.23,
                  "npi": [
                    1033351226
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073090783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1073090783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124061882"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1124061882
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.78,
              "providers": [
                {
                  "billed_charge": 7.78,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134539000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1134539000
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164475703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.64,
              "providers": [
                {
                  "billed_charge": 22.64,
                  "npi": [
                    1164475703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164788790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.9,
                  "npi": [
                    1164788790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205855988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.35,
              "providers": [
                {
                  "billed_charge": 38.35,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295788735"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1295788735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356866081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1356866081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 48.38,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 44.65,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508393208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1508393208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528056066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1528056066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528064649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.76,
                  "npi": [
                    1528064649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 66.7,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558803486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568457950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.18,
              "providers": [
                {
                  "billed_charge": 11.18,
                  "npi": [
                    1568457950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665566"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.38,
              "providers": [
                {
                  "billed_charge": 13.38,
                  "npi": [
                    1588665566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649237587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.42,
              "providers": [
                {
                  "billed_charge": 11.42,
                  "npi": [
                    1649237587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649273434"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 47.75,
                  "npi": [
                    1649273434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659354603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1659354603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669471728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.98,
              "providers": [
                {
                  "billed_charge": 7.98,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689641680"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689641680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689650616"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699327734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1699327734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710450002"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1710450002
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720212228"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.54,
              "providers": [
                {
                  "billed_charge": 11.54,
                  "npi": [
                    1720212228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740551506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1740551506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750368700"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1750368700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871295709"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 10.84,
                  "npi": [
                    1871295709
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871556621"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.93,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1871556621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.89,
              "providers": [
                {
                  "billed_charge": 6.89,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942636147"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1942636147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952052086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1952052086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952316747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1952316747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962214098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1962214098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                },
                {
                  "billed_charge": 44.65,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.87,
              "providers": [
                {
                  "billed_charge": 15.87,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.91,
              "providers": [
                {
                  "billed_charge": 29.91,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.92,
              "providers": [
                {
                  "billed_charge": 29.92,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.96,
              "providers": [
                {
                  "billed_charge": 29.96,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.98,
              "providers": [
                {
                  "billed_charge": 29.98,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.99,
              "providers": [
                {
                  "billed_charge": 29.99,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.03,
              "providers": [
                {
                  "billed_charge": 31.03,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.45,
              "providers": [
                {
                  "billed_charge": 32.45,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.91,
              "providers": [
                {
                  "billed_charge": 32.91,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962586784"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.4,
              "providers": [
                {
                  "billed_charge": 38.4,
                  "npi": [
                    1962586784
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245865625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.93,
              "providers": [
                {
                  "billed_charge": 43.93,
                  "npi": [
                    1245865625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336621903"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1336621903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437584745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437584745
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.75,
              "providers": [
                {
                  "billed_charge": 23.75,
                  "npi": [
                    1437584745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487241972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.01,
              "providers": [
                {
                  "billed_charge": 19.01,
                  "npi": [
                    1487241972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720346224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.75,
              "providers": [
                {
                  "billed_charge": 23.75,
                  "npi": [
                    1720346224
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.53,
              "providers": [
                {
                  "billed_charge": 46.53,
                  "npi": [
                    1720346224
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1285714733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.79,
              "providers": [
                {
                  "billed_charge": 12.79,
                  "npi": [
                    1285714733
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.93,
              "providers": [
                {
                  "billed_charge": 29.84,
                  "npi": [
                    1285714733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407943160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.97,
              "providers": [
                {
                  "billed_charge": 17.97,
                  "npi": [
                    1407943160
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.58,
              "providers": [
                {
                  "billed_charge": 25.58,
                  "npi": [
                    1407943160
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.93,
              "providers": [
                {
                  "billed_charge": 26.93,
                  "npi": [
                    1407943160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629102736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.67,
              "providers": [
                {
                  "billed_charge": 18.67,
                  "npi": [
                    1629102736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841823739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.12,
              "providers": [
                {
                  "billed_charge": 26.12,
                  "npi": [
                    1841823739
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.26,
              "providers": [
                {
                  "billed_charge": 27.26,
                  "npi": [
                    1841823739
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.27,
              "providers": [
                {
                  "billed_charge": 27.27,
                  "npi": [
                    1841823739
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.78,
              "providers": [
                {
                  "billed_charge": 28.78,
                  "npi": [
                    1841823739
                  ]
                }
              ]
            },
            {
              "allowed_amount": 56.0,
              "providers": [
                {
                  "billed_charge": 56.0,
                  "npi": [
                    1841823739
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for breast(s) MRI",
      "billing_code_type": "CPT",
      "billing_code": "77049",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for breast(s) MRI",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 753.6,
              "providers": [
                {
                  "billed_charge": 753.6,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.39,
              "providers": [
                {
                  "billed_charge": 155.39,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 762.57,
              "providers": [
                {
                  "billed_charge": 762.57,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 335.0,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.39,
              "providers": [
                {
                  "billed_charge": 155.39,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for test to count all blood cells, just red blood cells, or to find the concentration of hemoglobin",
      "billing_code_type": "CPT",
      "billing_code": "85027",
      "billing_code_type_version": "2026",
      "description": "Lab fee for test to count all blood cells, just red blood cells, or to find the concentration of hemoglobin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.56,
              "providers": [
                {
                  "billed_charge": 14.56,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073886644"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1073886644
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124729199"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.88,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1124729199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154839322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.0,
              "providers": [
                {
                  "billed_charge": 236.0,
                  "npi": [
                    1154839322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164146361"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1164146361
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164617007"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.31,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1164617007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194921908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1194921908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285261016"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1285261016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386112274"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1386112274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497321921"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1497321921
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518810712"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1518810712
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548990393"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1548990393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629555073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1629555073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629677364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1629677364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639548381"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 340.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1639548381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649870593"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1649870593
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689450207"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1689450207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720963838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1720963838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740442938"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 340.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1740442938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811777899"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.0,
              "providers": [
                {
                  "billed_charge": 236.0,
                  "npi": [
                    1811777899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821671793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1821671793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831921691"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1831921691
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881208189"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.0,
              "providers": [
                {
                  "billed_charge": 236.0,
                  "npi": [
                    1881208189
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972079119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1972079119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972138238"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.31,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1215933288"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1215933288
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.65,
              "providers": [
                {
                  "billed_charge": 48.65,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.71,
              "providers": [
                {
                  "billed_charge": 62.71,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.36,
              "providers": [
                {
                  "billed_charge": 111.36,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.42,
              "providers": [
                {
                  "billed_charge": 125.42,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 188.12,
              "providers": [
                {
                  "billed_charge": 188.12,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447502414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1447502414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1447502414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1447502414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.29,
              "providers": [
                {
                  "billed_charge": 97.29,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.36,
              "providers": [
                {
                  "billed_charge": 111.36,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.42,
              "providers": [
                {
                  "billed_charge": 125.42,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609899061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.23,
              "providers": [
                {
                  "billed_charge": 31.23,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.41,
              "providers": [
                {
                  "billed_charge": 45.41,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790959864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1790959864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821085028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831414689"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.44,
              "providers": [
                {
                  "billed_charge": 16.44,
                  "npi": [
                    1831414689
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.43,
              "providers": [
                {
                  "billed_charge": 40.43,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.0,
              "providers": [
                {
                  "billed_charge": 67.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902844350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.13,
              "providers": [
                {
                  "billed_charge": 15.13,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.91,
              "providers": [
                {
                  "billed_charge": 18.91,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.92,
              "providers": [
                {
                  "billed_charge": 18.92,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.32,
              "providers": [
                {
                  "billed_charge": 21.32,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.49,
              "providers": [
                {
                  "billed_charge": 34.49,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.07,
              "providers": [
                {
                  "billed_charge": 36.07,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.08,
              "providers": [
                {
                  "billed_charge": 36.08,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.43,
              "providers": [
                {
                  "billed_charge": 40.43,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.0,
              "providers": [
                {
                  "billed_charge": 67.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942913132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.21,
              "providers": [
                {
                  "billed_charge": 73.21,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.41,
              "providers": [
                {
                  "billed_charge": 146.41,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 182.0,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 273.0,
              "providers": [
                {
                  "billed_charge": 273.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962194571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1962194571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184621161"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1184621161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184638942"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1184638942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.85,
              "providers": [
                {
                  "billed_charge": 34.85,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.5,
              "providers": [
                {
                  "billed_charge": 30.5,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 36.03,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.05,
              "providers": [
                {
                  "billed_charge": 12.05,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 54.64,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679820534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.09,
              "providers": [
                {
                  "billed_charge": 26.6,
                  "npi": [
                    1679820534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033080205"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1033080205
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134296502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1134296502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164981015"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.25,
              "providers": [
                {
                  "billed_charge": 172.25,
                  "npi": [
                    1164981015
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.52,
              "providers": [
                {
                  "billed_charge": 100.52,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 116.68,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194958223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1194958223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205886926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.07,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.3,
              "providers": [
                {
                  "billed_charge": 125.3,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.87,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245857804"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1245857804
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1245857804
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255305207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1255305207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285173195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.4,
              "providers": [
                {
                  "billed_charge": 49.4,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285657098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1285657098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285765008"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1285765008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316233158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1316233158
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1316233158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326371675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1326371675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.25,
              "providers": [
                {
                  "billed_charge": 72.25,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.13,
              "providers": [
                {
                  "billed_charge": 76.86,
                  "npi": [
                    1336144732
                  ]
                },
                {
                  "billed_charge": 90.42,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356481584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1356481584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376705616"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1376705616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396716155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1396716155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407872518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.43,
              "providers": [
                {
                  "billed_charge": 91.43,
                  "npi": [
                    1407872518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407985724"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1407985724
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.29,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1407985724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447342514"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.87,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1447342514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.79,
              "providers": [
                {
                  "billed_charge": 229.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.5,
              "providers": [
                {
                  "billed_charge": 109.5,
                  "npi": [
                    1457346090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457396368"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1457396368
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1457396368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457676736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            },
            {
              "allowed_amount": 109.97,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467446369"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1467446369
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467867325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1467867325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477689909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1477689909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497916894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1497916894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1497916894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568130946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.03,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1568130946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.05,
              "providers": [
                {
                  "billed_charge": 102.05,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588794200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1588794200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598753907"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.85,
              "providers": [
                {
                  "billed_charge": 122.85,
                  "npi": [
                    1598753907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619955325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 217.2,
              "providers": [
                {
                  "billed_charge": 268.2,
                  "npi": [
                    1619955325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639123193"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.89,
              "providers": [
                {
                  "billed_charge": 137.89,
                  "npi": [
                    1639123193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.16,
              "providers": [
                {
                  "billed_charge": 190.43,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679656672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.45,
              "providers": [
                {
                  "billed_charge": 136.45,
                  "npi": [
                    1679656672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689663130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1689663130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700334182"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.85,
              "providers": [
                {
                  "billed_charge": 6.85,
                  "npi": [
                    1700334182
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720217383"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.4,
              "providers": [
                {
                  "billed_charge": 83.4,
                  "npi": [
                    1720217383
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740046655"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1740046655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740168954"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1740168954
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790875656"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 204.0,
              "providers": [
                {
                  "billed_charge": 262.0,
                  "npi": [
                    1790875656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801811559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1801811559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811101579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811101579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811954142"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.04,
              "providers": [
                {
                  "billed_charge": 87.04,
                  "npi": [
                    1811954142
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831274901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1831274901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831372705"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.35,
              "providers": [
                {
                  "billed_charge": 75.35,
                  "npi": [
                    1831372705
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.74,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891917639"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.45,
              "providers": [
                {
                  "billed_charge": 151.45,
                  "npi": [
                    1891917639
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891982641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.32,
              "providers": [
                {
                  "billed_charge": 49.32,
                  "npi": [
                    1891982641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902238694"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1902238694
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912180886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.5,
              "providers": [
                {
                  "billed_charge": 104.5,
                  "npi": [
                    1912180886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952085003"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1952085003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972532091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 272.91,
                  "npi": [
                    1972532091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093474751"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1093474751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558024760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1558024760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811505779"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1811505779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902440415"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1902440415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urinalysis",
      "billing_code_type": "CPT",
      "billing_code": "81003",
      "billing_code_type_version": "2026",
      "description": "Urinalysis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003476961"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1003476961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.6,
              "providers": [
                {
                  "billed_charge": 3.6,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104323344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.13,
              "providers": [
                {
                  "billed_charge": 4.55,
                  "npi": [
                    1104323344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134817950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.57,
              "providers": [
                {
                  "billed_charge": 5.57,
                  "npi": [
                    1134817950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295382778"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.85,
              "providers": [
                {
                  "billed_charge": 26.92,
                  "npi": [
                    1295382778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447075403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.69,
              "providers": [
                {
                  "billed_charge": 5.69,
                  "npi": [
                    1447075403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467451922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1467451922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477692051"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.8,
              "providers": [
                {
                  "billed_charge": 4.8,
                  "npi": [
                    1477692051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497053912"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.39,
              "providers": [
                {
                  "billed_charge": 244.0,
                  "npi": [
                    1497053912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528666153"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1528666153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548461643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1548461643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669570990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.85,
              "providers": [
                {
                  "billed_charge": 11.25,
                  "npi": [
                    1669570990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699724419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.96,
              "providers": [
                {
                  "billed_charge": 9.96,
                  "npi": [
                    1699724419
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740920180"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1740920180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750840062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.85,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.76,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.85,
              "providers": [
                {
                  "billed_charge": 2.85,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922064336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1922064336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932811775"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1932811775
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for skin lesion biopsy",
      "billing_code_type": "CPT",
      "billing_code": "11102",
      "billing_code_type_version": "2026",
      "description": "Provider fee for skin lesion biopsy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.04,
              "providers": [
                {
                  "billed_charge": 155.04,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.91,
              "providers": [
                {
                  "billed_charge": 133.91,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 161.37,
              "providers": [
                {
                  "billed_charge": 161.37,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 235.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609889401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.83,
              "providers": [
                {
                  "billed_charge": 142.83,
                  "npi": [
                    1609889401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720346133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.5,
              "providers": [
                {
                  "billed_charge": 117.5,
                  "npi": [
                    1720346133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 142.83,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.88,
              "providers": [
                {
                  "billed_charge": 142.83,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 142.83,
              "providers": [
                {
                  "billed_charge": 142.83,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1215350541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1215350541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215933288"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1215933288
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1215933288
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1215933288
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1215933288
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255684684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1255684684
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1255684684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265758403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1265758403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326220120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.25,
              "providers": [
                {
                  "billed_charge": 43.25,
                  "npi": [
                    1326220120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356349856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1356349856
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1356349856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407253578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.16,
              "providers": [
                {
                  "billed_charge": 20.16,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.81,
              "providers": [
                {
                  "billed_charge": 28.81,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.12,
              "providers": [
                {
                  "billed_charge": 29.12,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.94,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.32,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.32,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558568907"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1558568907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710208269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760770812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1760770812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811582208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1811582208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972662054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1972662054
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1972662054
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033923263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.45,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1033923263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093226169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1093226169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124168984"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1124168984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164720512"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1164720512
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174007934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1174007934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205329273"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1205329273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295320786"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1295320786
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376043398"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376043398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396250338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.45,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396250338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396901492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.45,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1396901492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508394727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.89,
              "providers": [
                {
                  "billed_charge": 127.28,
                  "npi": [
                    1508394727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518675180"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.45,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538156617"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1538156617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700682101"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1700682101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801169743"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1801169743
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.9,
              "providers": [
                {
                  "billed_charge": 113.9,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801783063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1801783063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831695469"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.45,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1831695469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902665698"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932510385"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1932510385
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972140044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.45,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.14,
              "providers": [
                {
                  "billed_charge": 132.65,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.45,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure c-reactive protein levels",
      "billing_code_type": "CPT",
      "billing_code": "86140",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure c-reactive protein levels",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.2,
              "providers": [
                {
                  "billed_charge": 11.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.66,
              "providers": [
                {
                  "billed_charge": 11.66,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.3,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619957933"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1619957933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.3,
              "providers": [
                {
                  "billed_charge": 7.3,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.5,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053403402"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1053403402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144513375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1144513375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225060312"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1225060312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386749893"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1386749893
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447435987"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.32,
              "providers": [
                {
                  "billed_charge": 8.32,
                  "npi": [
                    1447435987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457146250"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477554475"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 28.37,
                  "npi": [
                    1477554475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 28.37,
                  "npi": [
                    1477554475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.53,
              "providers": [
                {
                  "billed_charge": 25.53,
                  "npi": [
                    1477554475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679578850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1679578850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811069685"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1811069685
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811264393"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1811264393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Cardiologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Cardiologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033162037"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 348.0,
                  "npi": [
                    1033162037
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073565610"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.92,
              "providers": [
                {
                  "billed_charge": 201.75,
                  "npi": [
                    1073565610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083854095"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.8,
              "providers": [
                {
                  "billed_charge": 179.95,
                  "npi": [
                    1083854095
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114022167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.07,
              "providers": [
                {
                  "billed_charge": 145.07,
                  "npi": [
                    1114022167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164474276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.5,
              "providers": [
                {
                  "billed_charge": 127.5,
                  "npi": [
                    1164474276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174827919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.12,
              "providers": [
                {
                  "billed_charge": 122.12,
                  "npi": [
                    1174827919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225268915"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.71,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1225268915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255821138"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.0,
              "providers": [
                {
                  "billed_charge": 164.0,
                  "npi": [
                    1255821138
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265942403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.33,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1265942403
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.7,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1265942403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275763427"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1275763427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306022264"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 234.33,
                  "npi": [
                    1306022264
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336094234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.35,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1336094234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346226404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.0,
              "providers": [
                {
                  "billed_charge": 127.0,
                  "npi": [
                    1346226404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356331425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.39,
              "providers": [
                {
                  "billed_charge": 117.39,
                  "npi": [
                    1356331425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366719536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 339.0,
              "providers": [
                {
                  "billed_charge": 339.0,
                  "npi": [
                    1366719536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376898148"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1376898148
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427309608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1427309608
                  ]
                }
              ]
            },
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1427309608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437230034"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.91,
              "providers": [
                {
                  "billed_charge": 218.29,
                  "npi": [
                    1437230034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487724357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.7,
              "providers": [
                {
                  "billed_charge": 150.7,
                  "npi": [
                    1487724357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558310128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.68,
              "providers": [
                {
                  "billed_charge": 186.0,
                  "npi": [
                    1558310128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558344978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.5,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1558344978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588362164"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.6,
              "providers": [
                {
                  "billed_charge": 69.6,
                  "npi": [
                    1588362164
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.27,
              "providers": [
                {
                  "billed_charge": 232.0,
                  "npi": [
                    1588362164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598717001"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.51,
              "providers": [
                {
                  "billed_charge": 203.7,
                  "npi": [
                    1598717001
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609834886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 248.0,
                  "npi": [
                    1609834886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629056049"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 369.0,
                  "npi": [
                    1629056049
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.42,
              "providers": [
                {
                  "billed_charge": 369.0,
                  "npi": [
                    1629056049
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629247879"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1629247879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689023830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1689023830
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1689023830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689835878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.39,
              "providers": [
                {
                  "billed_charge": 117.39,
                  "npi": [
                    1689835878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730117805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 227.0,
                  "npi": [
                    1730117805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821521105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.77,
              "providers": [
                {
                  "billed_charge": 297.5,
                  "npi": [
                    1821521105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841605706"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.44,
              "providers": [
                {
                  "billed_charge": 115.44,
                  "npi": [
                    1841605706
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851335228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.5,
              "providers": [
                {
                  "billed_charge": 133.5,
                  "npi": [
                    1851335228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891792628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1891792628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902830193"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1902830193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912255241"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1912255241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932176401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.57,
              "providers": [
                {
                  "billed_charge": 187.5,
                  "npi": [
                    1932176401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942254347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 274.0,
                  "npi": [
                    1942254347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942516729"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1942516729
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962810952"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.25,
              "providers": [
                {
                  "billed_charge": 140.25,
                  "npi": [
                    1962810952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992846471"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1992846471
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for thyroid stimulating hormone (tsh) test",
      "billing_code_type": "CPT",
      "billing_code": "84443",
      "billing_code_type_version": "2026",
      "description": "Lab fee for thyroid stimulating hormone (tsh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.18,
              "providers": [
                {
                  "billed_charge": 6.18,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.0,
              "providers": [
                {
                  "billed_charge": 41.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.12,
              "providers": [
                {
                  "billed_charge": 15.12,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.73,
              "providers": [
                {
                  "billed_charge": 71.73,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.2,
              "providers": [
                {
                  "billed_charge": 67.2,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.79,
              "providers": [
                {
                  "billed_charge": 6.79,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447502414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1447502414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538238274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538238274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.58,
              "providers": [
                {
                  "billed_charge": 70.58,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821085028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831414689"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.28,
              "providers": [
                {
                  "billed_charge": 18.28,
                  "npi": [
                    1831414689
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.59,
              "providers": [
                {
                  "billed_charge": 16.59,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902844350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.81,
              "providers": [
                {
                  "billed_charge": 14.81,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.58,
              "providers": [
                {
                  "billed_charge": 16.58,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.59,
              "providers": [
                {
                  "billed_charge": 16.59,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.3,
              "providers": [
                {
                  "billed_charge": 28.3,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.04,
              "providers": [
                {
                  "billed_charge": 31.04,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.05,
              "providers": [
                {
                  "billed_charge": 31.05,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942913132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.17,
              "providers": [
                {
                  "billed_charge": 143.17,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.19,
              "providers": [
                {
                  "billed_charge": 143.19,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 178.0,
              "providers": [
                {
                  "billed_charge": 178.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 267.0,
              "providers": [
                {
                  "billed_charge": 267.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to test antimicrobial drug (antibiotic, antifungal, antiviral)",
      "billing_code_type": "CPT",
      "billing_code": "87186",
      "billing_code_type_version": "2026",
      "description": "Lab fee to test antimicrobial drug (antibiotic, antifungal, antiviral)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.46,
              "providers": [
                {
                  "billed_charge": 19.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.93,
              "providers": [
                {
                  "billed_charge": 38.93,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.46,
              "providers": [
                {
                  "billed_charge": 19.46,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.2,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.2,
              "providers": [
                {
                  "billed_charge": 45.59,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 203.15,
              "providers": [
                {
                  "billed_charge": 203.15,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134508260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1134508260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235422403"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 213.46,
                  "npi": [
                    1235422403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427679067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750330551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1750330551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871728303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1871728303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 63.7,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.5,
              "providers": [
                {
                  "billed_charge": 45.5,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.1,
              "providers": [
                {
                  "billed_charge": 143.1,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164492195"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.85,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 91.85,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225110497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.31,
              "providers": [
                {
                  "billed_charge": 42.24,
                  "npi": [
                    1225110497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225197262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1225197262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548296106"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1548296106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720159338"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.31,
              "providers": [
                {
                  "billed_charge": 46.0,
                  "npi": [
                    1720159338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760940316"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.23,
              "providers": [
                {
                  "billed_charge": 21.23,
                  "npi": [
                    1760940316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 375.74,
              "providers": [
                {
                  "billed_charge": 442.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831600295"
          },
          "service_code": [
            "81",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 51.0,
                  "npi": [
                    1831600295
                  ]
                },
                {
                  "billed_charge": 211.0,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.62,
              "providers": [
                {
                  "billed_charge": 51.0,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 206.71,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.04,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972535052"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972535052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972971265"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 13.2,
                  "npi": [
                    1972971265
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor office visit",
      "billing_code_type": "CPT",
      "billing_code": "99212",
      "billing_code_type_version": "2026",
      "description": "Chiropractor office visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013188697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1013188697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023067865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1023067865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.05,
              "providers": [
                {
                  "billed_charge": 72.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 83.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063611283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1063611283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093763930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.05,
              "providers": [
                {
                  "billed_charge": 80.05,
                  "npi": [
                    1093763930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124463658"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.65,
              "providers": [
                {
                  "billed_charge": 48.65,
                  "npi": [
                    1124463658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.0,
              "providers": [
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205977352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.2,
              "providers": [
                {
                  "billed_charge": 52.2,
                  "npi": [
                    1205977352
                  ]
                }
              ]
            },
            {
              "allowed_amount": 87.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1205977352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235105941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1235105941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.76,
              "providers": [
                {
                  "billed_charge": 39.76,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578756201"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1578756201
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588605711"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.2,
              "providers": [
                {
                  "billed_charge": 106.2,
                  "npi": [
                    1588605711
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 293.9,
              "providers": [
                {
                  "billed_charge": 293.9,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881691640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.5,
              "providers": [
                {
                  "billed_charge": 64.5,
                  "npi": [
                    1881691640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912196940"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1912196940
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154365062"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.17,
                  "npi": [
                    1154365062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 49.66,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184706152"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 42.11,
                  "npi": [
                    1184706152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.07,
              "providers": [
                {
                  "billed_charge": 30.07,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 40.17,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598747651"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1598747651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679820534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 49.66,
                  "npi": [
                    1679820534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720306566"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1720306566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740549450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1740549450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.78,
              "providers": [
                {
                  "billed_charge": 26.78,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861439952"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 29.5,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.82,
              "providers": [
                {
                  "billed_charge": 36.82,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912232794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 114.6,
                  "npi": [
                    1912232794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3075F",
      "billing_code_type": "CPT",
      "billing_code": "3075F",
      "billing_code_type_version": "2026",
      "description": "3075F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871007567"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1871007567
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nurse visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Nurse visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.44,
              "providers": [
                {
                  "billed_charge": 141.44,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033554910"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1033554910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 186.1,
              "providers": [
                {
                  "billed_charge": 186.1,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 203.15,
              "providers": [
                {
                  "billed_charge": 203.15,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.39,
              "providers": [
                {
                  "billed_charge": 151.3,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073603999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.33,
              "providers": [
                {
                  "billed_charge": 77.33,
                  "npi": [
                    1073603999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.39,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 218.28,
              "providers": [
                {
                  "billed_charge": 218.28,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154373199"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 197.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1154373199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184762122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1184762122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.23,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194724690"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1194724690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194958223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1194958223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215780499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1215780499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215925912"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1215925912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245237007"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1245237007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265001234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1265001234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265591812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1265591812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285729335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1285729335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295157675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1295157675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316207889"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 197.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1316207889
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316396641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1316396641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326538703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1326538703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.68,
              "providers": [
                {
                  "billed_charge": 175.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 195.3,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538337480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1538337480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558314500"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1558314500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1588665145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.28,
              "providers": [
                {
                  "billed_charge": 143.28,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            },
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598821175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.5,
              "providers": [
                {
                  "billed_charge": 178.5,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 334.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619073707"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1619073707
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619141652"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1619141652
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.55,
              "providers": [
                {
                  "billed_charge": 112.55,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.68,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659504785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1659504785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669530846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1669530846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669655387"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1669655387
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689663130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1689663130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740303395"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.0,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1740303395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760489173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.25,
              "providers": [
                {
                  "billed_charge": 98.25,
                  "npi": [
                    1760489173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760780795"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.3,
              "providers": [
                {
                  "billed_charge": 290.13,
                  "npi": [
                    1760780795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790708741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.71,
              "providers": [
                {
                  "billed_charge": 54.71,
                  "npi": [
                    1790708741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790760163"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1790760163
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811178254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821271792"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.15,
              "providers": [
                {
                  "billed_charge": 106.15,
                  "npi": [
                    1821271792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871913731"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.73,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1871913731
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902359383"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1902359383
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912087511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 192.0,
                  "npi": [
                    1912087511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932440021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1932440021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972097707"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1972097707
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982065181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.89,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1982065181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992890545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 234.0,
                  "npi": [
                    1992890545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Injection or infusion of ketorolac tromethamine, health care provider administered",
      "billing_code_type": "HCPCS",
      "billing_code": "J1885",
      "billing_code_type_version": "2026",
      "description": "Injection or infusion of ketorolac tromethamine, health care provider administered",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.6,
              "providers": [
                {
                  "billed_charge": 9.6,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346422425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1346422425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.26,
              "providers": [
                {
                  "billed_charge": 1.26,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            },
            {
              "allowed_amount": 2.46,
              "providers": [
                {
                  "billed_charge": 2.46,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 1.53,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.74,
              "providers": [
                {
                  "billed_charge": 0.74,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.77,
              "providers": [
                {
                  "billed_charge": 0.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 1.51,
              "providers": [
                {
                  "billed_charge": 1.51,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 1.53,
              "providers": [
                {
                  "billed_charge": 1.53,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.53,
              "providers": [
                {
                  "billed_charge": 1.53,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 34.55,
                  "npi": [
                    1801937008
                  ]
                },
                {
                  "billed_charge": 103.65,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.49,
              "providers": [
                {
                  "billed_charge": 2.49,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 2.85,
              "providers": [
                {
                  "billed_charge": 2.85,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 3.75,
              "providers": [
                {
                  "billed_charge": 3.75,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.51,
              "providers": [
                {
                  "billed_charge": 0.51,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922310200"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "billing_code_type": "CPT",
      "billing_code": "82306",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205855988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.8,
              "providers": [
                {
                  "billed_charge": 24.8,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 416.3,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.2,
              "providers": [
                {
                  "billed_charge": 16.2,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720212228"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 84.35,
                  "npi": [
                    1720212228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871295709"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 45.4,
                  "npi": [
                    1871295709
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.24,
              "providers": [
                {
                  "billed_charge": 36.24,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.87,
              "providers": [
                {
                  "billed_charge": 12.87,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 57.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 94.52,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063481141"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.5,
              "providers": [
                {
                  "billed_charge": 8.5,
                  "npi": [
                    1063481141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154857340"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.44,
              "providers": [
                {
                  "billed_charge": 14.44,
                  "npi": [
                    1154857340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 42.58,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255372207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1255372207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.51,
              "providers": [
                {
                  "billed_charge": 116.51,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844657"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1407844657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427618305"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.4,
              "providers": [
                {
                  "billed_charge": 11.4,
                  "npi": [
                    1427618305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 18.38,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558545202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1558545202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568562551"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609189604"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609189604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720048143"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.42,
                  "npi": [
                    1720048143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.78,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912007931"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1912007931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942385794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942385794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962996421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.22,
              "providers": [
                {
                  "billed_charge": 11.22,
                  "npi": [
                    1962996421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982728036"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 42.58,
                  "npi": [
                    1982728036
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for chest x-ray",
      "billing_code_type": "CPT",
      "billing_code": "71046",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for chest x-ray",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.53,
              "providers": [
                {
                  "billed_charge": 48.53,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.09,
              "providers": [
                {
                  "billed_charge": 57.09,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.8,
              "providers": [
                {
                  "billed_charge": 72.8,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.53,
              "providers": [
                {
                  "billed_charge": 48.53,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "23",
            "19",
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.69,
              "providers": [
                {
                  "billed_charge": 14.69,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.69,
              "providers": [
                {
                  "billed_charge": 14.69,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "22",
            "19",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.69,
              "providers": [
                {
                  "billed_charge": 14.69,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.69,
              "providers": [
                {
                  "billed_charge": 14.69,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.35,
              "providers": [
                {
                  "billed_charge": 39.35,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.29,
              "providers": [
                {
                  "billed_charge": 46.29,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.75,
              "providers": [
                {
                  "billed_charge": 14.75,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023565256"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1023565256
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144800350"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.8,
              "providers": [
                {
                  "billed_charge": 69.8,
                  "npi": [
                    1144800350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 87.25,
              "providers": [
                {
                  "billed_charge": 87.25,
                  "npi": [
                    1144800350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205283553"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1205283553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255280665"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.52,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1255280665
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295504322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 230.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1295504322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477761633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1477761633
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1477761633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487887386"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 400.0,
              "providers": [
                {
                  "billed_charge": 400.0,
                  "npi": [
                    1487887386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548990393"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1548990393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558976951"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1558976951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710445002"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.24,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710445002
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841798758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 400.0,
              "providers": [
                {
                  "billed_charge": 400.0,
                  "npi": [
                    1841798758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922419548"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.52,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1922419548
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1306399332"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1306399332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386691418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1386691418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437967411"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1437967411
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 217.25,
                  "npi": [
                    1437967411
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700421534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1700421534
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1700421534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902674344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 380.0,
                  "npi": [
                    1902674344
                  ]
                },
                {
                  "billed_charge": 390.0,
                  "npi": [
                    1902674344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962109082"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1962109082
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code": "3078F",
      "billing_code_type_version": "2026",
      "description": "3078F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1104512276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1104512276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497482111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1497482111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881990604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1881990604
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for liver panel",
      "billing_code_type": "CPT",
      "billing_code": "80076",
      "billing_code_type_version": "2026",
      "description": "Lab fee for liver panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.6,
              "providers": [
                {
                  "billed_charge": 21.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 186.53,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.38,
              "providers": [
                {
                  "billed_charge": 18.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.8,
              "providers": [
                {
                  "billed_charge": 48.8,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.17,
              "providers": [
                {
                  "billed_charge": 8.17,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 16.9,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hematology oncologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Hematology oncologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073787537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1073787537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093976441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 309.0,
              "providers": [
                {
                  "billed_charge": 309.0,
                  "npi": [
                    1093976441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114282605"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 265.53,
                  "npi": [
                    1114282605
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.6,
              "providers": [
                {
                  "billed_charge": 83.6,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.21,
              "providers": [
                {
                  "billed_charge": 111.21,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124038963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.24,
              "providers": [
                {
                  "billed_charge": 70.24,
                  "npi": [
                    1124038963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124078696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.5,
              "providers": [
                {
                  "billed_charge": 118.5,
                  "npi": [
                    1124078696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134296502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1134296502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184652539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 186.0,
                  "npi": [
                    1184652539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 148.8,
                  "npi": [
                    1184652539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194773317"
          },
          "service_code": [
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.18,
              "providers": [
                {
                  "billed_charge": 83.18,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            },
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215953765"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.32,
              "providers": [
                {
                  "billed_charge": 204.48,
                  "npi": [
                    1215953765
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225292865"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.91,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1225292865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255305207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1255305207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255372215"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.5,
              "providers": [
                {
                  "billed_charge": 104.5,
                  "npi": [
                    1255372215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285657098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.37,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1285657098
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1285657098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285822759"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.44,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1285822759
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326009044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1326009044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356481584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1356481584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407872518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1407872518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457396368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1457396368
                  ]
                }
              ]
            },
            {
              "allowed_amount": 104.5,
              "providers": [
                {
                  "billed_charge": 104.5,
                  "npi": [
                    1457396368
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.15,
              "providers": [
                {
                  "billed_charge": 106.15,
                  "npi": [
                    1457396368
                  ]
                }
              ]
            },
            {
              "allowed_amount": 191.62,
              "providers": [
                {
                  "billed_charge": 191.62,
                  "npi": [
                    1457396368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487674297"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1487674297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568130946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.46,
              "providers": [
                {
                  "billed_charge": 169.0,
                  "npi": [
                    1568130946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629164728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.47,
              "providers": [
                {
                  "billed_charge": 100.47,
                  "npi": [
                    1629164728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649342890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.89,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1649342890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649384223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.4,
              "providers": [
                {
                  "billed_charge": 137.4,
                  "npi": [
                    1649384223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679656672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.76,
              "providers": [
                {
                  "billed_charge": 194.76,
                  "npi": [
                    1679656672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 186.0,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699705681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 248.3,
              "providers": [
                {
                  "billed_charge": 248.3,
                  "npi": [
                    1699705681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710285812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1710285812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720217383"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.8,
              "providers": [
                {
                  "billed_charge": 61.8,
                  "npi": [
                    1720217383
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.18,
              "providers": [
                {
                  "billed_charge": 83.18,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801395520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1801395520
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.95,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1801395520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811101579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1811101579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811710197"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1811710197
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1811710197
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841261476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1841261476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851490973"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.39,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1851490973
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871728303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.5,
              "providers": [
                {
                  "billed_charge": 82.5,
                  "npi": [
                    1871728303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1871728303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881948073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.22,
              "providers": [
                {
                  "billed_charge": 140.22,
                  "npi": [
                    1881948073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962431817"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.19,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1962431817
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225361181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1225361181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.27,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.15,
              "providers": [
                {
                  "billed_charge": 5.15,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                },
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487854352"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1487854352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548212988"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.68,
              "providers": [
                {
                  "billed_charge": 34.68,
                  "npi": [
                    1548212988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.13,
              "providers": [
                {
                  "billed_charge": 102.13,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.99,
              "providers": [
                {
                  "billed_charge": 6.99,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 52.8,
              "providers": [
                {
                  "billed_charge": 52.8,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.33,
              "providers": [
                {
                  "billed_charge": 79.33,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 74.31,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801884655"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 77.9,
                  "npi": [
                    1801884655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.31,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.08,
              "providers": [
                {
                  "billed_charge": 31.08,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.35,
              "providers": [
                {
                  "billed_charge": 3.35,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physician assistant (or Alternative medicine practitioner) visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Physician assistant (or Alternative medicine practitioner) visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023307246"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.54,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1023307246
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043269871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 237.0,
                  "npi": [
                    1043269871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043563174"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.73,
              "providers": [
                {
                  "billed_charge": 285.0,
                  "npi": [
                    1043563174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144273137"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1144273137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194778050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 461.0,
                  "npi": [
                    1194778050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205410768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1205410768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275598476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1275598476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326066267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.02,
              "providers": [
                {
                  "billed_charge": 145.34,
                  "npi": [
                    1326066267
                  ]
                }
              ]
            },
            {
              "allowed_amount": 132.91,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1326066267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346879939"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.6,
              "providers": [
                {
                  "billed_charge": 107.6,
                  "npi": [
                    1346879939
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386716249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1386716249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407283468"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1407283468
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437148996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1437148996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487827416"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1487827416
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508399577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1508399577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578969465"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1578969465
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609327816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.2,
              "providers": [
                {
                  "billed_charge": 142.2,
                  "npi": [
                    1609327816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639159742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1639159742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649972332"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 243.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1649972332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730382110"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1730382110
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770377905"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1770377905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831219245"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1831219245
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881361855"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1881361855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972133031"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1972133031
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053110619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1053110619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093997017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1093997017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124118062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124118062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144289596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.75,
              "providers": [
                {
                  "billed_charge": 8.75,
                  "npi": [
                    1144289596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174551147"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1174551147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194062448"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1194062448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306225222"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1306225222
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326108903"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 57.0,
                  "npi": [
                    1326108903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376575514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1376575514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407810971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.68,
              "providers": [
                {
                  "billed_charge": 18.68,
                  "npi": [
                    1407810971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437122009"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437122009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497276844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1497276844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518901479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.11,
              "providers": [
                {
                  "billed_charge": 11.11,
                  "npi": [
                    1518901479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380444"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1558380444
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649225129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1649225129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.68,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871589192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1871589192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942505102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1942505102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003358235"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.46,
              "providers": [
                {
                  "billed_charge": 16.46,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1003358235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184096232"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.67,
              "providers": [
                {
                  "billed_charge": 26.67,
                  "npi": [
                    1184096232
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.36,
              "providers": [
                {
                  "billed_charge": 53.36,
                  "npi": [
                    1184096232
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295080026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.15,
              "providers": [
                {
                  "billed_charge": 32.15,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295130615"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1295130615
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528444940"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1528444940
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679371637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.44,
              "providers": [
                {
                  "billed_charge": 19.44,
                  "npi": [
                    1679371637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.44,
              "providers": [
                {
                  "billed_charge": 19.44,
                  "npi": [
                    1689077380
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.24,
              "providers": [
                {
                  "billed_charge": 37.24,
                  "npi": [
                    1689077380
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 11.5,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 16.1,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.5,
              "providers": [
                {
                  "billed_charge": 11.5,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164492195"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.45,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164943395"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1164943395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225110497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 34.28,
                  "npi": [
                    1225110497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225197262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1225197262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225361181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1225361181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.08,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376099556"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 15.3,
                  "npi": [
                    1376099556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427679067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457652067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1457652067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487409090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.4,
              "providers": [
                {
                  "billed_charge": 6.4,
                  "npi": [
                    1487409090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.6,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 36.6,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 14.94,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750368700"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1750368700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.5,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.99,
              "providers": [
                {
                  "billed_charge": 0.99,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831600295"
          },
          "service_code": [
            "81",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1831600295
                  ]
                },
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1831600295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.69,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972535052"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972535052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972971265"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.67,
                  "npi": [
                    1972971265
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Well-woman visit or annual GYN exam",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Well-woman visit or annual GYN exam",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003985102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.2,
              "providers": [
                {
                  "billed_charge": 161.2,
                  "npi": [
                    1003985102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 278.0,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 193.66,
              "providers": [
                {
                  "billed_charge": 193.66,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104927565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 438.0,
              "providers": [
                {
                  "billed_charge": 482.0,
                  "npi": [
                    1104927565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.89,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.2,
              "providers": [
                {
                  "billed_charge": 180.19,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124139514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.8,
              "providers": [
                {
                  "billed_charge": 163.8,
                  "npi": [
                    1124139514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164475703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.28,
              "providers": [
                {
                  "billed_charge": 285.0,
                  "npi": [
                    1164475703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194495176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.87,
              "providers": [
                {
                  "billed_charge": 168.87,
                  "npi": [
                    1194495176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205198561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.5,
              "providers": [
                {
                  "billed_charge": 95.5,
                  "npi": [
                    1205198561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225047905"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 475.0,
              "providers": [
                {
                  "billed_charge": 475.0,
                  "npi": [
                    1225047905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235339227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.7,
              "providers": [
                {
                  "billed_charge": 168.7,
                  "npi": [
                    1235339227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235576695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 297.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1235576695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265938948"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.0,
              "providers": [
                {
                  "billed_charge": 347.1,
                  "npi": [
                    1265938948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285684225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 309.0,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.84,
              "providers": [
                {
                  "billed_charge": 309.0,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295318269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.01,
              "providers": [
                {
                  "billed_charge": 206.01,
                  "npi": [
                    1295318269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316619034"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 365.0,
              "providers": [
                {
                  "billed_charge": 475.0,
                  "npi": [
                    1316619034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356683213"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 444.0,
                  "npi": [
                    1356683213
                  ]
                }
              ]
            },
            {
              "allowed_amount": 222.0,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1356683213
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376854059"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 166.8,
                  "npi": [
                    1376854059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407864168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 482.0,
                  "npi": [
                    1407864168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407885262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.0,
              "providers": [
                {
                  "billed_charge": 154.51,
                  "npi": [
                    1407885262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.83,
              "providers": [
                {
                  "billed_charge": 153.83,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447075403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.73,
              "providers": [
                {
                  "billed_charge": 41.73,
                  "npi": [
                    1447075403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457736720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 264.0,
                  "npi": [
                    1457736720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467451922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 405.0,
                  "npi": [
                    1467451922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477545168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.64,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1477545168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528070570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 216.0,
              "providers": [
                {
                  "billed_charge": 254.0,
                  "npi": [
                    1528070570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538247556"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 281.6,
              "providers": [
                {
                  "billed_charge": 285.6,
                  "npi": [
                    1538247556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548461643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1548461643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568591592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.35,
              "providers": [
                {
                  "billed_charge": 181.33,
                  "npi": [
                    1568591592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568774297"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 293.0,
                  "npi": [
                    1568774297
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.8,
              "providers": [
                {
                  "billed_charge": 175.8,
                  "npi": [
                    1568774297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649385436"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.03,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1649385436
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699724419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 320.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1699724419
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.5,
              "providers": [
                {
                  "billed_charge": 133.5,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760457014"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.84,
              "providers": [
                {
                  "billed_charge": 97.84,
                  "npi": [
                    1760457014
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780611442"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.0,
              "providers": [
                {
                  "billed_charge": 278.0,
                  "npi": [
                    1780611442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821388893"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.28,
              "providers": [
                {
                  "billed_charge": 208.5,
                  "npi": [
                    1821388893
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831378249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1831378249
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure gonadotropin",
      "billing_code_type": "CPT",
      "billing_code": "83002",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure gonadotropin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.67,
              "providers": [
                {
                  "billed_charge": 41.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.67,
              "providers": [
                {
                  "billed_charge": 41.67,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.52,
              "providers": [
                {
                  "billed_charge": 18.52,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.67,
              "providers": [
                {
                  "billed_charge": 41.67,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003549692"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1003549692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013795863"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1013795863
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073254850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.4,
              "providers": [
                {
                  "billed_charge": 106.4,
                  "npi": [
                    1073254850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355708"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1114355708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174306542"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1174306542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174719322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1174719322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184884850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.5,
              "providers": [
                {
                  "billed_charge": 190.5,
                  "npi": [
                    1184884850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235197781"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.56,
              "providers": [
                {
                  "billed_charge": 94.56,
                  "npi": [
                    1235197781
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255388922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.5,
              "providers": [
                {
                  "billed_charge": 118.5,
                  "npi": [
                    1255388922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356722425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.95,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1356722425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396734851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.84,
              "providers": [
                {
                  "billed_charge": 141.84,
                  "npi": [
                    1396734851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437301645"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1437301645
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497531529"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1497531529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508445362"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1508445362
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508817529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 237.0,
                  "npi": [
                    1508817529
                  ]
                }
              ]
            },
            {
              "allowed_amount": 156.92,
              "providers": [
                {
                  "billed_charge": 156.92,
                  "npi": [
                    1508817529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518913409"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1518913409
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588851133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1588851133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619013851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 153.72,
                  "npi": [
                    1619013851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629065479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1629065479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649290313"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.2,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1649290313
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689092686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 287.0,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1689092686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720286594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.4,
              "providers": [
                {
                  "billed_charge": 143.4,
                  "npi": [
                    1720286594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770193450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.78,
              "providers": [
                {
                  "billed_charge": 77.92,
                  "npi": [
                    1770193450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780497776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.36,
              "providers": [
                {
                  "billed_charge": 104.36,
                  "npi": [
                    1780497776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790774123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1790774123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811943434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1811943434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831299767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1831299767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851957112"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1851957112
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932541711"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.64,
              "providers": [
                {
                  "billed_charge": 146.64,
                  "npi": [
                    1932541711
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.53,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972255917"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1972255917
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure ferritin",
      "billing_code_type": "CPT",
      "billing_code": "82728",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure ferritin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.22,
              "providers": [
                {
                  "billed_charge": 212.74,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.67,
              "providers": [
                {
                  "billed_charge": 30.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.22,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.67,
              "providers": [
                {
                  "billed_charge": 30.67,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.22,
              "providers": [
                {
                  "billed_charge": 39.95,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.42,
              "providers": [
                {
                  "billed_charge": 39.95,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.63,
              "providers": [
                {
                  "billed_charge": 13.63,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Inpatient hospital observation care provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99233",
      "billing_code_type_version": "2026",
      "description": "Inpatient hospital observation care provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1154978930"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 232.0,
                  "npi": [
                    1154978930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 136.67,
              "providers": [
                {
                  "billed_charge": 136.67,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366976276"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1366976276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 157.7,
              "providers": [
                {
                  "billed_charge": 157.7,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.23,
              "providers": [
                {
                  "billed_charge": 175.23,
                  "npi": [
                    1407854771
                  ]
                },
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538117551"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 175.23,
              "providers": [
                {
                  "billed_charge": 210.26,
                  "npi": [
                    1538117551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720034051"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 173.02,
                  "npi": [
                    1720034051
                  ]
                },
                {
                  "billed_charge": 232.0,
                  "npi": [
                    1720034051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 175.23,
              "providers": [
                {
                  "billed_charge": 210.26,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.49,
              "providers": [
                {
                  "billed_charge": 194.49,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861439952"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 173.02,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962712828"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 173.02,
                  "npi": [
                    1962712828
                  ]
                },
                {
                  "billed_charge": 232.0,
                  "npi": [
                    1962712828
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1376402313"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1376402313
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609913698"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1609913698
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659260826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.72,
              "providers": [
                {
                  "billed_charge": 52.5,
                  "npi": [
                    1659260826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700926128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1700926128
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1700926128
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1700926128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902992720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1902992720
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1902992720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982962650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1982962650
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Vision Test",
      "billing_code_type": "CPT",
      "billing_code": "99177",
      "billing_code_type_version": "2026",
      "description": "Vision Test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.37,
              "providers": [
                {
                  "billed_charge": 7.37,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.37,
              "providers": [
                {
                  "billed_charge": 7.37,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255921326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1255921326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.47,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.47,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679901649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871548743"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1871548743
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073293569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1073293569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083330393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1083330393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154005809"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1154005809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174871784"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1174871784
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184105173"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1184105173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225200611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1225200611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225625874"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1225625874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255175360"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1255175360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376813964"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1376813964
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396290441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1396290441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407536436"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407536436
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407638455"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1407638455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437657160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1437657160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447482484"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1447482484
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538104633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538104633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619620937"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1619620937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649879248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1649879248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679323547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1679323547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710539580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1710539580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730754482"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1730754482
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750782579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1750782579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790377489"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1790377489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962474932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1962474932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure inorganic phosphorus (phosphate)",
      "billing_code_type": "CPT",
      "billing_code": "84100",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure inorganic phosphorus (phosphate)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.4,
              "providers": [
                {
                  "billed_charge": 10.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.68,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.67,
              "providers": [
                {
                  "billed_charge": 10.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073927117"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 356.0,
                  "npi": [
                    1073927117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 419.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.39,
              "providers": [
                {
                  "billed_charge": 25.39,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.4,
              "providers": [
                {
                  "billed_charge": 82.4,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 419.0,
              "providers": [
                {
                  "billed_charge": 419.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386980837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.82,
                  "npi": [
                    1386980837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417316159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1417316159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 54.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 33.35,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740715333"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.02,
              "providers": [
                {
                  "billed_charge": 4.02,
                  "npi": [
                    1740715333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811982770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811982770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851439830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.9,
              "providers": [
                {
                  "billed_charge": 24.9,
                  "npi": [
                    1851439830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for red blood cell antibodies screening test",
      "billing_code_type": "CPT",
      "billing_code": "86850",
      "billing_code_type_version": "2026",
      "description": "Lab fee for red blood cell antibodies screening test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.0,
              "providers": [
                {
                  "billed_charge": 4.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922310200"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.68,
              "providers": [
                {
                  "billed_charge": 11.68,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235297342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.52,
              "providers": [
                {
                  "billed_charge": 48.52,
                  "npi": [
                    1235297342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255501235"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 46.5,
                  "npi": [
                    1255501235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 50.25,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326006438"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 71.25,
                  "npi": [
                    1326006438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366479099"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1366479099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588656870"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 40.2,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619913449"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1619913449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912643040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.81,
              "providers": [
                {
                  "billed_charge": 14.81,
                  "npi": [
                    1912643040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942636519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.5,
              "providers": [
                {
                  "billed_charge": 30.5,
                  "npi": [
                    1942636519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003029455"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.9,
              "providers": [
                {
                  "billed_charge": 11.9,
                  "npi": [
                    1003029455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033468400"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1033468400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053643981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 246.0,
                  "npi": [
                    1053643981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 226.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205025491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1205025491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.5,
              "providers": [
                {
                  "billed_charge": 157.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326211103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1326211103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457883217"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 343.85,
              "providers": [
                {
                  "billed_charge": 343.85,
                  "npi": [
                    1457883217
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467628594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.71,
              "providers": [
                {
                  "billed_charge": 240.5,
                  "npi": [
                    1467628594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578083234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.21,
              "providers": [
                {
                  "billed_charge": 32.21,
                  "npi": [
                    1578083234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619230802"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.85,
              "providers": [
                {
                  "billed_charge": 122.85,
                  "npi": [
                    1619230802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619959822"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.25,
              "providers": [
                {
                  "billed_charge": 107.25,
                  "npi": [
                    1619959822
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659542793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.5,
              "providers": [
                {
                  "billed_charge": 127.5,
                  "npi": [
                    1659542793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            },
            {
              "allowed_amount": 161.82,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.71,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 142.59,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700191335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1700191335
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1700191335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740398890"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.54,
              "providers": [
                {
                  "billed_charge": 352.0,
                  "npi": [
                    1740398890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801422639"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 223.02,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1801422639
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891892097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.43,
                  "npi": [
                    1891892097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972830404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.6,
              "providers": [
                {
                  "billed_charge": 147.6,
                  "npi": [
                    1972830404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972880854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1972880854
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ophthalmologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Ophthalmologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 217.07,
              "providers": [
                {
                  "billed_charge": 217.07,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063663433"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 197.18,
              "providers": [
                {
                  "billed_charge": 239.03,
                  "npi": [
                    1063663433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 426.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 251.25,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134172992"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1134172992
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134633761"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 426.0,
                  "npi": [
                    1134633761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.65,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154569689"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 593.0,
              "providers": [
                {
                  "billed_charge": 749.0,
                  "npi": [
                    1154569689
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255301560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 253.67,
              "providers": [
                {
                  "billed_charge": 261.14,
                  "npi": [
                    1255301560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 208.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497326839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1497326839
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497784144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 197.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1497784144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568495299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 357.0,
                  "npi": [
                    1568495299
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376519801"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1376519801
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1376519801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417227398"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1417227398
                  ]
                },
                {
                  "billed_charge": 139.35,
                  "npi": [
                    1417227398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528201845"
          },
          "service_code": [
            "23",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1528201845
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 55.74,
                  "npi": [
                    1528201845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598756363"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.68,
              "providers": [
                {
                  "billed_charge": 64.98,
                  "npi": [
                    1598756363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710977400"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 139.35,
                  "npi": [
                    1710977400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 206.71,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972503464"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.05,
              "providers": [
                {
                  "billed_charge": 5.05,
                  "npi": [
                    1972503464
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033158100"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1033158100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124102595"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1124102595
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124334479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1124334479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134017361"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1134017361
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164730404"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1164730404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194724690"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1194724690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225848682"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1225848682
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245805753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1245805753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245827476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.01,
              "providers": [
                {
                  "billed_charge": 122.01,
                  "npi": [
                    1245827476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265475628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1265475628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285689976"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1285689976
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285961847"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1285961847
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356882435"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1356882435
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386915296"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1386915296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407689433"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407689433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417101171"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 290.0,
              "providers": [
                {
                  "billed_charge": 290.0,
                  "npi": [
                    1417101171
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437292927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 247.0,
              "providers": [
                {
                  "billed_charge": 247.0,
                  "npi": [
                    1437292927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477997450"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1477997450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487532719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487532719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548587553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.08,
              "providers": [
                {
                  "billed_charge": 121.08,
                  "npi": [
                    1548587553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548592363"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.01,
              "providers": [
                {
                  "billed_charge": 122.01,
                  "npi": [
                    1548592363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.09,
              "providers": [
                {
                  "billed_charge": 179.09,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689913675"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.59,
              "providers": [
                {
                  "billed_charge": 108.59,
                  "npi": [
                    1689913675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699091314"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 279.28,
              "providers": [
                {
                  "billed_charge": 281.28,
                  "npi": [
                    1699091314
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720946858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.68,
              "providers": [
                {
                  "billed_charge": 191.81,
                  "npi": [
                    1720946858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730368796"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1730368796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770689440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1770689440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851097646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.6,
              "providers": [
                {
                  "billed_charge": 163.6,
                  "npi": [
                    1851097646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871760439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.9,
              "providers": [
                {
                  "billed_charge": 165.9,
                  "npi": [
                    1871760439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891745212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.69,
              "providers": [
                {
                  "billed_charge": 129.69,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902431646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1902431646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912643040"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1912643040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932853728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1932853728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972828085"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1972828085
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to test for chlamydia",
      "billing_code_type": "CPT",
      "billing_code": "87491",
      "billing_code_type_version": "2026",
      "description": "Lab fee to test for chlamydia",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 78.95,
              "providers": [
                {
                  "billed_charge": 78.95,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.48,
              "providers": [
                {
                  "billed_charge": 233.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891770806"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.41,
              "providers": [
                {
                  "billed_charge": 58.41,
                  "npi": [
                    1891770806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942274410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1942274410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235115437"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1235115437
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.59,
              "providers": [
                {
                  "billed_charge": 60.59,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.55,
              "providers": [
                {
                  "billed_charge": 70.55,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.51,
              "providers": [
                {
                  "billed_charge": 13.51,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497850275"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1497850275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1508835828
                  ]
                },
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1508835828
                  ]
                },
                {
                  "billed_charge": 35.38,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538391768"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.82,
              "providers": [
                {
                  "billed_charge": 5.82,
                  "npi": [
                    1538391768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.99,
              "providers": [
                {
                  "billed_charge": 6.99,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790868982"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1790868982
                  ]
                },
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1790868982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811939887"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1811939887
                  ]
                },
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861480543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.2,
              "providers": [
                {
                  "billed_charge": 7.2,
                  "npi": [
                    1861480543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.82,
              "providers": [
                {
                  "billed_charge": 10.82,
                  "npi": [
                    1861480543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891569828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 14.04,
                  "npi": [
                    1891569828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902918030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.99,
              "providers": [
                {
                  "billed_charge": 2.99,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for lab examination of tissue using a microscope",
      "billing_code_type": "CPT",
      "billing_code": "88305",
      "billing_code_type_version": "2026",
      "description": "Lab fee for lab examination of tissue using a microscope",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.4,
              "providers": [
                {
                  "billed_charge": 66.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 131.2,
              "providers": [
                {
                  "billed_charge": 131.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 199.2,
              "providers": [
                {
                  "billed_charge": 199.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 393.6,
              "providers": [
                {
                  "billed_charge": 393.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 656.0,
              "providers": [
                {
                  "billed_charge": 656.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164217295"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 267.0,
                  "npi": [
                    1164217295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417245176"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.71,
              "providers": [
                {
                  "billed_charge": 92.71,
                  "npi": [
                    1417245176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477522910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.03,
              "providers": [
                {
                  "billed_charge": 204.0,
                  "npi": [
                    1477522910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609889401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.95,
              "providers": [
                {
                  "billed_charge": 105.95,
                  "npi": [
                    1609889401
                  ]
                }
              ]
            },
            {
              "allowed_amount": 211.9,
              "providers": [
                {
                  "billed_charge": 211.9,
                  "npi": [
                    1609889401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790272748"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1790272748
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236734"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1841236734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891909941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 473.64,
                  "npi": [
                    1891909941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922310200"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 2586.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.76,
              "providers": [
                {
                  "billed_charge": 318.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.95,
              "providers": [
                {
                  "billed_charge": 105.95,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.03,
              "providers": [
                {
                  "billed_charge": 211.9,
                  "npi": [
                    1962578393
                  ]
                },
                {
                  "billed_charge": 635.7,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 114.18,
              "providers": [
                {
                  "billed_charge": 211.9,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 211.9,
              "providers": [
                {
                  "billed_charge": 211.9,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.6,
              "providers": [
                {
                  "billed_charge": 10.6,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure free thyroxine",
      "billing_code_type": "CPT",
      "billing_code": "84439",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure free thyroxine",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.3,
              "providers": [
                {
                  "billed_charge": 20.3,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.3,
              "providers": [
                {
                  "billed_charge": 20.3,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 11.59,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.52,
              "providers": [
                {
                  "billed_charge": 94.52,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.31,
              "providers": [
                {
                  "billed_charge": 48.1,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.21,
              "providers": [
                {
                  "billed_charge": 7.21,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.85,
              "providers": [
                {
                  "billed_charge": 30.85,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 56.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487854352"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1487854352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.58,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.92,
              "providers": [
                {
                  "billed_charge": 140.92,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.09,
              "providers": [
                {
                  "billed_charge": 43.09,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801884655"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 133.0,
                  "npi": [
                    1801884655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.24,
              "providers": [
                {
                  "billed_charge": 42.24,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.9,
              "providers": [
                {
                  "billed_charge": 7.9,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urinalysis",
      "billing_code_type": "CPT",
      "billing_code": "81003",
      "billing_code_type_version": "2026",
      "description": "Urinalysis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.38,
              "providers": [
                {
                  "billed_charge": 3.38,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.16,
              "providers": [
                {
                  "billed_charge": 4.16,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.16,
              "providers": [
                {
                  "billed_charge": 4.16,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174602908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.17,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1174602908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.38,
              "providers": [
                {
                  "billed_charge": 3.38,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 5.06,
              "providers": [
                {
                  "billed_charge": 5.06,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.17,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568842813"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.16,
              "providers": [
                {
                  "billed_charge": 4.16,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639135643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1639135643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.38,
              "providers": [
                {
                  "billed_charge": 3.38,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962419978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.62,
              "providers": [
                {
                  "billed_charge": 3.62,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pediatrician visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Pediatrician visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154728061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.06,
              "providers": [
                {
                  "billed_charge": 200.65,
                  "npi": [
                    1154728061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174206791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1174206791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235422403"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235422403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326531179"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.8,
              "providers": [
                {
                  "billed_charge": 107.8,
                  "npi": [
                    1326531179
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326538703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1326538703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336338029"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1336338029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336590660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1336590660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467945220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1467945220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497305791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.68,
              "providers": [
                {
                  "billed_charge": 88.68,
                  "npi": [
                    1497305791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528097938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1528097938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649921834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.72,
              "providers": [
                {
                  "billed_charge": 110.72,
                  "npi": [
                    1649921834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669063103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1669063103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669756532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1669756532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710840871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1710840871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770521478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1770521478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780467555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1780467555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851734933"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.11,
              "providers": [
                {
                  "billed_charge": 131.11,
                  "npi": [
                    1851734933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932130952"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1932130952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932918570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1932918570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952466476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1952466476
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1952466476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972631679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.26,
              "providers": [
                {
                  "billed_charge": 91.26,
                  "npi": [
                    1972631679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992202394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1992202394
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033303136"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1033303136
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033976170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.23,
              "providers": [
                {
                  "billed_charge": 39.02,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 63.82,
              "providers": [
                {
                  "billed_charge": 87.5,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.5,
              "providers": [
                {
                  "billed_charge": 87.5,
                  "npi": [
                    1033976170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093735060"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.72,
              "providers": [
                {
                  "billed_charge": 15.72,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.95,
              "providers": [
                {
                  "billed_charge": 20.95,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.97,
              "providers": [
                {
                  "billed_charge": 29.97,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.59,
              "providers": [
                {
                  "billed_charge": 39.59,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1093735060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124424205"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.71,
              "providers": [
                {
                  "billed_charge": 27.71,
                  "npi": [
                    1124424205
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205945888"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.1,
              "providers": [
                {
                  "billed_charge": 23.1,
                  "npi": [
                    1205945888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235434283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.57,
                  "npi": [
                    1235434283
                  ]
                },
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.22,
              "providers": [
                {
                  "billed_charge": 20.22,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.57,
              "providers": [
                {
                  "billed_charge": 31.57,
                  "npi": [
                    1235434283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285772475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.27,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1285772475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.5,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1285772475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1285772475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.54,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1285772475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316517576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.29,
              "providers": [
                {
                  "billed_charge": 21.29,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.97,
              "providers": [
                {
                  "billed_charge": 21.97,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.26,
              "providers": [
                {
                  "billed_charge": 24.26,
                  "npi": [
                    1316517576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497989479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.77,
              "providers": [
                {
                  "billed_charge": 57.77,
                  "npi": [
                    1497989479
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.75,
              "providers": [
                {
                  "billed_charge": 58.75,
                  "npi": [
                    1497989479
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.5,
              "providers": [
                {
                  "billed_charge": 117.5,
                  "npi": [
                    1497989479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598094955"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.81,
              "providers": [
                {
                  "billed_charge": 39.9,
                  "npi": [
                    1598094955
                  ]
                },
                {
                  "billed_charge": 39.91,
                  "npi": [
                    1598094955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700301561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.0,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1700301561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770688392"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.32,
              "providers": [
                {
                  "billed_charge": 21.32,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.33,
              "providers": [
                {
                  "billed_charge": 21.33,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.54,
              "providers": [
                {
                  "billed_charge": 46.54,
                  "npi": [
                    1770688392
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942395660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.44,
              "providers": [
                {
                  "billed_charge": 33.44,
                  "npi": [
                    1942395660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972221174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.5,
              "providers": [
                {
                  "billed_charge": 20.83,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.71,
              "providers": [
                {
                  "billed_charge": 35.71,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.71,
              "providers": [
                {
                  "billed_charge": 35.71,
                  "npi": [
                    1972221174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972655454"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.39,
              "providers": [
                {
                  "billed_charge": 40.5,
                  "npi": [
                    1972655454
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.54,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1972655454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982666111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1982666111
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for extra complexity in an evaluation and management visit",
      "billing_code_type": "HCPCS",
      "billing_code": "G2211",
      "billing_code_type_version": "2026",
      "description": "Provider fee for extra complexity in an evaluation and management visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.98,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013232909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.2,
              "providers": [
                {
                  "billed_charge": 18.2,
                  "npi": [
                    1013232909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "20",
            "22",
            "19",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.33,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053440180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.94,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1053440180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285827972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1285827972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.09,
              "providers": [
                {
                  "billed_charge": 19.09,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.94,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619053527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1619053527
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1619053527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.21,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.35,
              "providers": [
                {
                  "billed_charge": 14.35,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699917088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.4,
              "providers": [
                {
                  "billed_charge": 9.4,
                  "npi": [
                    1699917088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.88,
              "providers": [
                {
                  "billed_charge": 16.88,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.76,
              "providers": [
                {
                  "billed_charge": 33.76,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740589506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1740589506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801801766"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.33,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1801801766
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831229491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.9,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1831229491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902940042"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.69,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1902940042
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972631679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1972631679
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1972631679
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467552471"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1467552471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.12,
              "providers": [
                {
                  "billed_charge": 9.12,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.45,
              "providers": [
                {
                  "billed_charge": 10.45,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780429076"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1780429076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.48,
              "providers": [
                {
                  "billed_charge": 3.48,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023354461"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1023354461
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073780730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1073780730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134167687"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.67,
              "providers": [
                {
                  "billed_charge": 117.67,
                  "npi": [
                    1134167687
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134315237"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.26,
              "providers": [
                {
                  "billed_charge": 81.26,
                  "npi": [
                    1134315237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184250490"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1184250490
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194715227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 450.0,
              "providers": [
                {
                  "billed_charge": 450.0,
                  "npi": [
                    1194715227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215906649"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.91,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1215906649
                  ]
                }
              ]
            },
            {
              "allowed_amount": 253.0,
              "providers": [
                {
                  "billed_charge": 253.0,
                  "npi": [
                    1215906649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396946208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.93,
              "providers": [
                {
                  "billed_charge": 304.0,
                  "npi": [
                    1396946208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487270351"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.87,
              "providers": [
                {
                  "billed_charge": 133.87,
                  "npi": [
                    1487270351
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508445362"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 264.0,
              "providers": [
                {
                  "billed_charge": 264.0,
                  "npi": [
                    1508445362
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538686498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1538686498
                  ]
                }
              ]
            },
            {
              "allowed_amount": 271.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1538686498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548259898"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.89,
              "providers": [
                {
                  "billed_charge": 134.39,
                  "npi": [
                    1548259898
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548632805"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.82,
              "providers": [
                {
                  "billed_charge": 164.74,
                  "npi": [
                    1548632805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598712804"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.5,
              "providers": [
                {
                  "billed_charge": 174.5,
                  "npi": [
                    1598712804
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689092686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 271.78,
              "providers": [
                {
                  "billed_charge": 271.78,
                  "npi": [
                    1689092686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902019979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1902019979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912716135"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.04,
              "providers": [
                {
                  "billed_charge": 222.5,
                  "npi": [
                    1912716135
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912953290"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 707.0,
                  "npi": [
                    1912953290
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure follicle stimulating hormone (fsh)",
      "billing_code_type": "CPT",
      "billing_code": "83001",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure follicle stimulating hormone (fsh)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.8,
              "providers": [
                {
                  "billed_charge": 40.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.81,
              "providers": [
                {
                  "billed_charge": 41.81,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.58,
              "providers": [
                {
                  "billed_charge": 18.58,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.81,
              "providers": [
                {
                  "billed_charge": 41.81,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Basic metabolic panel (BMP)",
      "billing_code_type": "CPT",
      "billing_code": "80048",
      "billing_code_type_version": "2026",
      "description": "Basic metabolic panel (BMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.34,
              "providers": [
                {
                  "billed_charge": 68.34,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225361181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1225361181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                },
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.61,
              "providers": [
                {
                  "billed_charge": 7.61,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689663130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.46,
              "providers": [
                {
                  "billed_charge": 8.46,
                  "npi": [
                    1689663130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 102.53,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.93,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.32,
              "providers": [
                {
                  "billed_charge": 73.32,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013008192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.6,
              "providers": [
                {
                  "billed_charge": 153.6,
                  "npi": [
                    1013008192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063663433"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 289.26,
                  "npi": [
                    1063663433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134346521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.8,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1134346521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154857340"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.7,
              "providers": [
                {
                  "billed_charge": 180.7,
                  "npi": [
                    1154857340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.31,
              "providers": [
                {
                  "billed_charge": 160.69,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.6,
              "providers": [
                {
                  "billed_charge": 162.87,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.48,
              "providers": [
                {
                  "billed_charge": 160.69,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.69,
              "providers": [
                {
                  "billed_charge": 160.69,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.09,
              "providers": [
                {
                  "billed_charge": 147.09,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285173195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.8,
              "providers": [
                {
                  "billed_charge": 124.8,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 229.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.9,
              "providers": [
                {
                  "billed_charge": 11.9,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447450978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1447450978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497482111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 299.0,
                  "npi": [
                    1497482111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548720238"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.8,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1548720238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568989762"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.5,
              "providers": [
                {
                  "billed_charge": 149.5,
                  "npi": [
                    1568989762
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 192.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720330657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.6,
              "providers": [
                {
                  "billed_charge": 114.6,
                  "npi": [
                    1720330657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 313.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.2,
              "providers": [
                {
                  "billed_charge": 112.2,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972991784"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.27,
              "providers": [
                {
                  "billed_charge": 313.0,
                  "npi": [
                    1972991784
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033777370"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1033777370
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497920128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1497920128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700939519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1700939519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770966467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1770966467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194829135"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1194829135
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437135902"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.97,
              "providers": [
                {
                  "billed_charge": 31.97,
                  "npi": [
                    1437135902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609921402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1609921402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710952262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.73,
              "providers": [
                {
                  "billed_charge": 14.73,
                  "npi": [
                    1710952262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760815773"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1760815773
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821270323"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1821270323
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "50",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.88,
              "providers": [
                {
                  "billed_charge": 6.88,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881583730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1881583730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912319997"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1912319997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952460149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1952460149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 179.5,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1255314704"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1255314704
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417952748"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1417952748
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508817529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1508817529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568477156"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1568477156
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720286594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.4,
              "providers": [
                {
                  "billed_charge": 5.4,
                  "npi": [
                    1720286594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720306566"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1720306566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.68,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013208248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.75,
              "providers": [
                {
                  "billed_charge": 48.75,
                  "npi": [
                    1013208248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184326092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.99,
              "providers": [
                {
                  "billed_charge": 34.99,
                  "npi": [
                    1184326092
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.89,
              "providers": [
                {
                  "billed_charge": 55.89,
                  "npi": [
                    1184326092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326516253"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1326516253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.21,
              "providers": [
                {
                  "billed_charge": 16.21,
                  "npi": [
                    1467484212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669150272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.26,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1669150272
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.17,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1669150272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669540530"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1669540530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760910418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.4,
              "providers": [
                {
                  "billed_charge": 36.4,
                  "npi": [
                    1760910418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770585911"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.01,
              "providers": [
                {
                  "billed_charge": 23.01,
                  "npi": [
                    1770585911
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821680174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.5,
              "providers": [
                {
                  "billed_charge": 82.5,
                  "npi": [
                    1821680174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831432657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.5,
              "providers": [
                {
                  "billed_charge": 52.5,
                  "npi": [
                    1831432657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871925693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1871925693
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 41.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063481141"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1063481141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 35.6,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.62,
              "providers": [
                {
                  "billed_charge": 12.62,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245410703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1245410703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255372207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.98,
              "providers": [
                {
                  "billed_charge": 11.98,
                  "npi": [
                    1255372207
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.0,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1255372207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.39,
              "providers": [
                {
                  "billed_charge": 78.39,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346738473"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.55,
              "providers": [
                {
                  "billed_charge": 17.55,
                  "npi": [
                    1346738473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467972299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467972299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477690329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.05,
              "providers": [
                {
                  "billed_charge": 11.05,
                  "npi": [
                    1477690329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497850275"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1497850275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558545202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.0,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1558545202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 13.59,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "11",
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.8,
              "providers": [
                {
                  "billed_charge": 4.8,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962996421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.66,
              "providers": [
                {
                  "billed_charge": 9.66,
                  "npi": [
                    1962996421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982728036"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 35.6,
                  "npi": [
                    1982728036
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.46,
              "providers": [
                {
                  "billed_charge": 46.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 92.93,
              "providers": [
                {
                  "billed_charge": 92.93,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.29,
              "providers": [
                {
                  "billed_charge": 106.29,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.39,
              "providers": [
                {
                  "billed_charge": 139.39,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 152.75,
              "providers": [
                {
                  "billed_charge": 152.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447502414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1447502414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1447502414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 476.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 714.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609899061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831414689"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.52,
              "providers": [
                {
                  "billed_charge": 15.52,
                  "npi": [
                    1831414689
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.98,
              "providers": [
                {
                  "billed_charge": 12.98,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902844350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.57,
              "providers": [
                {
                  "billed_charge": 11.57,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.58,
              "providers": [
                {
                  "billed_charge": 11.58,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.13,
              "providers": [
                {
                  "billed_charge": 12.13,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.98,
              "providers": [
                {
                  "billed_charge": 12.98,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.68,
              "providers": [
                {
                  "billed_charge": 13.68,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            },
            {
              "allowed_amount": 86.0,
              "providers": [
                {
                  "billed_charge": 86.0,
                  "npi": [
                    1902844350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942913132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.33,
              "providers": [
                {
                  "billed_charge": 60.33,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.34,
              "providers": [
                {
                  "billed_charge": 60.34,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1942913132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033748579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.33,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1033748579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063609287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1063609287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134918394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.0,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1134918394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174544068"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1174544068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205923430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.04,
              "providers": [
                {
                  "billed_charge": 148.2,
                  "npi": [
                    1205923430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245722156"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1245722156
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356525745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1356525745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366890410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 233.0,
              "providers": [
                {
                  "billed_charge": 446.0,
                  "npi": [
                    1366890410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437439734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1437439734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447203088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1447203088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 109.04,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1447203088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467689349"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1467689349
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467831560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.75,
              "providers": [
                {
                  "billed_charge": 139.75,
                  "npi": [
                    1467831560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548208432"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1548208432
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568613099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1568613099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588000830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1588000830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619090750"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 223.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1619090750
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619119575"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1619119575
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619906914"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.64,
              "providers": [
                {
                  "billed_charge": 70.64,
                  "npi": [
                    1619906914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629414958"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1629414958
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669669917"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.64,
              "providers": [
                {
                  "billed_charge": 70.64,
                  "npi": [
                    1669669917
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.15,
              "providers": [
                {
                  "billed_charge": 252.38,
                  "npi": [
                    1669669917
                  ]
                }
              ]
            },
            {
              "allowed_amount": 88.38,
              "providers": [
                {
                  "billed_charge": 252.38,
                  "npi": [
                    1669669917
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 520.0,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689124513"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1689124513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689152746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.34,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1689152746
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710274014"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1710274014
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750807640"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1750807640
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780758003"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1780758003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.96,
              "providers": [
                {
                  "billed_charge": 187.85,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.01,
              "providers": [
                {
                  "billed_charge": 187.85,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790918514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.96,
              "providers": [
                {
                  "billed_charge": 187.85,
                  "npi": [
                    1790918514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831187764"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.27,
              "providers": [
                {
                  "billed_charge": 105.27,
                  "npi": [
                    1831187764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831371517"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.4,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1831371517
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841328853"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 136.25,
                  "npi": [
                    1841328853
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841455185"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1841455185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851143192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.54,
              "providers": [
                {
                  "billed_charge": 120.28,
                  "npi": [
                    1851143192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861633844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1861633844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891751996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.33,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1891751996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972579928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1972579928
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for red blood cell concentration, hemoglobin, red blood cell count, or white blood cell count",
      "billing_code_type": "CPT",
      "billing_code": "85018",
      "billing_code_type_version": "2026",
      "description": "Lab fee for red blood cell concentration, hemoglobin, red blood cell count, or white blood cell count",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013156710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1013156710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.56,
              "providers": [
                {
                  "billed_charge": 3.56,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.56,
              "providers": [
                {
                  "billed_charge": 3.56,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.2,
              "providers": [
                {
                  "billed_charge": 7.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255307732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.59,
              "providers": [
                {
                  "billed_charge": 5.59,
                  "npi": [
                    1255307732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.34,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962457838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1962457838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023865805"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1023865805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215181300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1215181300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275609679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1275609679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346816352"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1346816352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356947923"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1356947923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538671581"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1538671581
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588161962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1588161962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659194074"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1659194074
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669597134"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1669597134
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.27,
              "providers": [
                {
                  "billed_charge": 135.27,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ophthalmologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Ophthalmologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114289626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1114289626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154851178"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.4,
              "providers": [
                {
                  "billed_charge": 122.4,
                  "npi": [
                    1154851178
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194495150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1194495150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 83.4,
              "providers": [
                {
                  "billed_charge": 83.4,
                  "npi": [
                    1194495150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.87,
              "providers": [
                {
                  "billed_charge": 69.87,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 312.87,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255684684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 49.0,
                  "npi": [
                    1255684684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316043110"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 156.67,
                  "npi": [
                    1316043110
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689158552"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1689158552
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.86,
              "providers": [
                {
                  "billed_charge": 140.06,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.56,
              "providers": [
                {
                  "billed_charge": 46.56,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225110497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 53.56,
                  "npi": [
                    1225110497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336365931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1336365931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346593316"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 33.23,
                  "npi": [
                    1346593316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477596203"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 46.37,
                  "npi": [
                    1477596203
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649248626"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 71.45,
                  "npi": [
                    1649248626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669660783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.74,
              "providers": [
                {
                  "billed_charge": 20.74,
                  "npi": [
                    1669660783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750996070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.08,
              "providers": [
                {
                  "billed_charge": 10.08,
                  "npi": [
                    1750996070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780881862"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.3,
              "providers": [
                {
                  "billed_charge": 23.2,
                  "npi": [
                    1780881862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982902557"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.85,
              "providers": [
                {
                  "billed_charge": 17.85,
                  "npi": [
                    1982902557
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992001952"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.88,
              "providers": [
                {
                  "billed_charge": 55.2,
                  "npi": [
                    1992001952
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023217452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1023217452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073992673"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 241.15,
              "providers": [
                {
                  "billed_charge": 241.15,
                  "npi": [
                    1073992673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124272547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 145.5,
                  "npi": [
                    1124272547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194293647"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1194293647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215264916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1215264916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215354352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.75,
              "providers": [
                {
                  "billed_charge": 93.75,
                  "npi": [
                    1215354352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225095599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1225095599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437937059"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1437937059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457736977"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1457736977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467532218"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1467532218
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568772499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.05,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1568772499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598216582"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1598216582
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649222373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 182.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1649222373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669728531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.95,
              "providers": [
                {
                  "billed_charge": 103.95,
                  "npi": [
                    1669728531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699394478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1699394478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699789032"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1699789032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790769735"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.2,
              "providers": [
                {
                  "billed_charge": 127.2,
                  "npi": [
                    1790769735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821042912"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.12,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1821042912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851868202"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1851868202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982773248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1982773248
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073927117"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.86,
              "providers": [
                {
                  "billed_charge": 160.86,
                  "npi": [
                    1073927117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144543877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1144543877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.45,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.75,
              "providers": [
                {
                  "billed_charge": 21.75,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.86,
              "providers": [
                {
                  "billed_charge": 160.86,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386361756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1386361756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346496"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 21.5,
                  "npi": [
                    1457346496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "22",
            "23",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.75,
              "providers": [
                {
                  "billed_charge": 21.75,
                  "npi": [
                    1508848300
                  ]
                },
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538184635"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1538184635
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568087708"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.36,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1568087708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609816123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.54,
              "providers": [
                {
                  "billed_charge": 8.54,
                  "npi": [
                    1609816123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679632137"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1679632137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780638833"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1780638833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912521782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1912521782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pulmonologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Pulmonologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023621646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1023621646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114083532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.49,
              "providers": [
                {
                  "billed_charge": 357.0,
                  "npi": [
                    1114083532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154410538"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1154410538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164047718"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1164047718
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205293453"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.47,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1205293453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275564858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.3,
              "providers": [
                {
                  "billed_charge": 118.3,
                  "npi": [
                    1275564858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306497276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1306497276
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1306497276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326473596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1326473596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376223859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 287.0,
              "providers": [
                {
                  "billed_charge": 287.0,
                  "npi": [
                    1376223859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417910431"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.71,
              "providers": [
                {
                  "billed_charge": 96.71,
                  "npi": [
                    1417910431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437139300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1437139300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437156486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.03,
              "providers": [
                {
                  "billed_charge": 99.03,
                  "npi": [
                    1437156486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457851255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.01,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1457851255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487772596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.33,
              "providers": [
                {
                  "billed_charge": 148.0,
                  "npi": [
                    1487772596
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.0,
              "providers": [
                {
                  "billed_charge": 148.0,
                  "npi": [
                    1487772596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538805809"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538805809
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.34,
              "providers": [
                {
                  "billed_charge": 125.72,
                  "npi": [
                    1558380527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558872432"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1558872432
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588267066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.5,
              "providers": [
                {
                  "billed_charge": 120.5,
                  "npi": [
                    1588267066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629518055"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.49,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1629518055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669426953"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1669426953
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730969122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.99,
              "providers": [
                {
                  "billed_charge": 144.0,
                  "npi": [
                    1730969122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801843925"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1801843925
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821277443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1821277443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851147888"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.8,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1851147888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972855344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1972855344
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1972855344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.47,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatric diagnostic evaluation",
      "billing_code_type": "CPT",
      "billing_code": "90791",
      "billing_code_type_version": "2026",
      "description": "Psychiatric diagnostic evaluation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003674862"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1003674862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013883032"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 267.0,
              "providers": [
                {
                  "billed_charge": 267.0,
                  "npi": [
                    1013883032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083492243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1083492243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245870492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1245870492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285261016"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1285261016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700431434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1700431434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.91,
              "providers": [
                {
                  "billed_charge": 173.35,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 173.35,
              "providers": [
                {
                  "billed_charge": 173.35,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871211904"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1871211904
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902079478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1902079478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972138238"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.35,
              "providers": [
                {
                  "billed_charge": 173.35,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013036730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1013036730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558318170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.22,
              "providers": [
                {
                  "billed_charge": 34.22,
                  "npi": [
                    1558318170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 68.45,
              "providers": [
                {
                  "billed_charge": 68.45,
                  "npi": [
                    1558318170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750057279"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.57,
              "providers": [
                {
                  "billed_charge": 10.57,
                  "npi": [
                    1750057279
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.05,
              "providers": [
                {
                  "billed_charge": 15.05,
                  "npi": [
                    1750057279
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.17,
              "providers": [
                {
                  "billed_charge": 19.17,
                  "npi": [
                    1750057279
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.19,
              "providers": [
                {
                  "billed_charge": 19.19,
                  "npi": [
                    1750057279
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.25,
              "providers": [
                {
                  "billed_charge": 21.25,
                  "npi": [
                    1750057279
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790997682"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1790997682
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891747283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1891747283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Podiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Podiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023347499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1023347499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033591813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1033591813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053574558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1053574558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093112724"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1093112724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104000520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1104000520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144340076"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1144340076
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.33,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1144340076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.0,
              "providers": [
                {
                  "billed_charge": 78.0,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154636066"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.4,
              "providers": [
                {
                  "billed_charge": 83.4,
                  "npi": [
                    1154636066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174296172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.9,
              "providers": [
                {
                  "billed_charge": 98.9,
                  "npi": [
                    1174296172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255784187"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.5,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1255784187
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316942758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1316942758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386858389"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1386858389
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417178344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1417178344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437153830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1437153830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457326514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.07,
              "providers": [
                {
                  "billed_charge": 115.07,
                  "npi": [
                    1457326514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528528726"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1528528726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528736972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1528736972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649465733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1649465733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649892225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1649892225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669661880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1669661880
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1669661880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689855058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1689855058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689973638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.88,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1689973638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710274014"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1710274014
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780800649"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.44,
              "providers": [
                {
                  "billed_charge": 23.44,
                  "npi": [
                    1780800649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831187764"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1831187764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841455185"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1841455185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861587321"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1861587321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891763728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1891763728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922387141"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.0,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1922387141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932102506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.5,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1932102506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932175783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.52,
              "providers": [
                {
                  "billed_charge": 134.4,
                  "npi": [
                    1932175783
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for blood typing test",
      "billing_code_type": "CPT",
      "billing_code": "86900",
      "billing_code_type_version": "2026",
      "description": "Lab fee for blood typing test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 290.81,
              "providers": [
                {
                  "billed_charge": 290.81,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922310200"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.58,
              "providers": [
                {
                  "billed_charge": 3.58,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013208248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.75,
              "providers": [
                {
                  "billed_charge": 48.75,
                  "npi": [
                    1013208248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184326092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1184326092
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.91,
              "providers": [
                {
                  "billed_charge": 47.91,
                  "npi": [
                    1184326092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.01,
              "providers": [
                {
                  "billed_charge": 73.01,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396307021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.95,
              "providers": [
                {
                  "billed_charge": 50.7,
                  "npi": [
                    1396307021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.45,
              "providers": [
                {
                  "billed_charge": 18.45,
                  "npi": [
                    1467484212
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.2,
              "providers": [
                {
                  "billed_charge": 21.2,
                  "npi": [
                    1467484212
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.89,
              "providers": [
                {
                  "billed_charge": 36.89,
                  "npi": [
                    1467484212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669540530"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1669540530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710775234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1710775234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760910418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1760910418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811687742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1811687742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831432657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.5,
              "providers": [
                {
                  "billed_charge": 52.5,
                  "npi": [
                    1831432657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952172843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1952172843
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1952172843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1215165832"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.53,
              "providers": [
                {
                  "billed_charge": 12.53,
                  "npi": [
                    1215165832
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275576381"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1275576381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366479099"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1366479099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386856276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1386856276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467459776"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467459776
                  ]
                },
                {
                  "billed_charge": 67.0,
                  "npi": [
                    1467459776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1542798417"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1542798417
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619913449"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619913449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699344697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1699344697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750001657"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1750001657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770668568"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1770668568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851424634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1851424634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912218850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.01,
              "providers": [
                {
                  "billed_charge": 3.01,
                  "npi": [
                    1912218850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952645905"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.5,
              "providers": [
                {
                  "billed_charge": 2.5,
                  "npi": [
                    1952645905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972922730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.5,
              "providers": [
                {
                  "billed_charge": 2.5,
                  "npi": [
                    1972922730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    9999999999
                  ]
                },
                {
                  "billed_charge": 35.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134392699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.9,
              "providers": [
                {
                  "billed_charge": 92.9,
                  "npi": [
                    1134392699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154594950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.97,
              "providers": [
                {
                  "billed_charge": 51.97,
                  "npi": [
                    1154594950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174125561"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1174125561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346456365"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.39,
              "providers": [
                {
                  "billed_charge": 147.39,
                  "npi": [
                    1346456365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366297699"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1366297699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407937493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1407937493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427167261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1427167261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477266971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1477266971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548739246"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.04,
              "providers": [
                {
                  "billed_charge": 137.04,
                  "npi": [
                    1548739246
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558637975"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.26,
              "providers": [
                {
                  "billed_charge": 98.26,
                  "npi": [
                    1558637975
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588036065"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1588036065
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679660617"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.33,
              "providers": [
                {
                  "billed_charge": 101.33,
                  "npi": [
                    1679660617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801450986"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 380.0,
              "providers": [
                {
                  "billed_charge": 380.0,
                  "npi": [
                    1801450986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891404380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.97,
              "providers": [
                {
                  "billed_charge": 51.97,
                  "npi": [
                    1891404380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932425428"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1932425428
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982802823"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1982802823
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992035695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.84,
              "providers": [
                {
                  "billed_charge": 87.84,
                  "npi": [
                    1992035695
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1992035695
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Cardiologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Cardiologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003044199"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 303.0,
              "providers": [
                {
                  "billed_charge": 442.0,
                  "npi": [
                    1003044199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023740362"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.6,
              "providers": [
                {
                  "billed_charge": 111.6,
                  "npi": [
                    1023740362
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063587061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.5,
              "providers": [
                {
                  "billed_charge": 227.5,
                  "npi": [
                    1063587061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083633101"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1083633101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194350546"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1194350546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235252032"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.0,
              "providers": [
                {
                  "billed_charge": 148.8,
                  "npi": [
                    1235252032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275729691"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1275729691
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1275729691
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285766055"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1285766055
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336257831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1336257831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407849722"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1407849722
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407864168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 498.0,
                  "npi": [
                    1407864168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427015551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427015551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427019165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 324.8,
              "providers": [
                {
                  "billed_charge": 324.8,
                  "npi": [
                    1427019165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437493467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 487.17,
              "providers": [
                {
                  "billed_charge": 487.17,
                  "npi": [
                    1437493467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588741888"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.75,
              "providers": [
                {
                  "billed_charge": 162.75,
                  "npi": [
                    1588741888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619593886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1619593886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659457380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 324.0,
              "providers": [
                {
                  "billed_charge": 324.0,
                  "npi": [
                    1659457380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740284736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 244.0,
              "providers": [
                {
                  "billed_charge": 285.0,
                  "npi": [
                    1740284736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831887744"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1831887744
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841955937"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1841955937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851327241"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.07,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1851327241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881990869"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.35,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1881990869
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891372298"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.38,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1891372298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942301759"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 403.0,
              "providers": [
                {
                  "billed_charge": 485.0,
                  "npi": [
                    1942301759
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical medicine & rehab doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Physical medicine & rehab doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114995099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1114995099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124185210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.72,
              "providers": [
                {
                  "billed_charge": 72.72,
                  "npi": [
                    1124185210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194909556"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1194909556
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.83,
              "providers": [
                {
                  "billed_charge": 102.83,
                  "npi": [
                    1194909556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225010754"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1225010754
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.02,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1225010754
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475771"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.56,
              "providers": [
                {
                  "billed_charge": 148.56,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346716412"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1346716412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376223859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.18,
              "providers": [
                {
                  "billed_charge": 399.0,
                  "npi": [
                    1376223859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376227041"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1376227041
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386675890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1386675890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427355080"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 222.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1427355080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447802780"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1447802780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457335549"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.12,
              "providers": [
                {
                  "billed_charge": 96.12,
                  "npi": [
                    1457335549
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508859448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1508859448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568585776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1568585776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588192801"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1588192801
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1588192801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588685382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1588685382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659006393"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1659006393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669736559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1669736559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679945661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1679945661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740829761"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 176.4,
              "providers": [
                {
                  "billed_charge": 176.4,
                  "npi": [
                    1740829761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861495418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.01,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1861495418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861854176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1861854176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912382227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1912382227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962243287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 223.0,
              "providers": [
                {
                  "billed_charge": 223.0,
                  "npi": [
                    1962243287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972599363"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.45,
              "providers": [
                {
                  "billed_charge": 140.45,
                  "npi": [
                    1972599363
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.56,
              "providers": [
                {
                  "billed_charge": 175.56,
                  "npi": [
                    1972599363
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "J2003",
      "billing_code_type": "HCPCS",
      "billing_code": "J2003",
      "billing_code_type_version": "2026",
      "description": "J2003",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.87,
              "providers": [
                {
                  "billed_charge": 0.87,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 37.2,
                  "npi": [
                    1801937008
                  ]
                },
                {
                  "billed_charge": 51.5,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922310200"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 46.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for test to count all blood cells, just red blood cells, or to find the concentration of hemoglobin",
      "billing_code_type": "CPT",
      "billing_code": "85027",
      "billing_code_type_version": "2026",
      "description": "Lab fee for test to count all blood cells, just red blood cells, or to find the concentration of hemoglobin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053824292"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 242.0,
                  "npi": [
                    1053824292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.68,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.21,
              "providers": [
                {
                  "billed_charge": 9.21,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154314789"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154314789
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.09,
              "providers": [
                {
                  "billed_charge": 8.09,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255697306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1255697306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.68,
              "providers": [
                {
                  "billed_charge": 8.68,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295331221"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.68,
              "providers": [
                {
                  "billed_charge": 21.4,
                  "npi": [
                    1295331221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.68,
              "providers": [
                {
                  "billed_charge": 8.68,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.68,
              "providers": [
                {
                  "billed_charge": 8.68,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508810573"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1508810573
                  ]
                },
                {
                  "billed_charge": 1132.84,
                  "npi": [
                    1508810573
                  ]
                }
              ]
            },
            {
              "allowed_amount": 5.6,
              "providers": [
                {
                  "billed_charge": 5.6,
                  "npi": [
                    1508810573
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.68,
              "providers": [
                {
                  "billed_charge": 41.89,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760471585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.56,
              "providers": [
                {
                  "billed_charge": 9.56,
                  "npi": [
                    1760471585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.47,
              "providers": [
                {
                  "billed_charge": 6.47,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.44,
              "providers": [
                {
                  "billed_charge": 56.44,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992375000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.5,
              "providers": [
                {
                  "billed_charge": 6.5,
                  "npi": [
                    1992375000
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013954510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1013954510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 89.24,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.39,
              "providers": [
                {
                  "billed_charge": 78.39,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366407603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.5,
              "providers": [
                {
                  "billed_charge": 29.5,
                  "npi": [
                    1366407603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.69,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 23.14,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for strep test",
      "billing_code_type": "CPT",
      "billing_code": "87651",
      "billing_code_type_version": "2026",
      "description": "Lab fee for strep test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.64,
              "providers": [
                {
                  "billed_charge": 52.64,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 64.92,
              "providers": [
                {
                  "billed_charge": 64.92,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.92,
              "providers": [
                {
                  "billed_charge": 64.92,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043958473"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 49.0,
                  "npi": [
                    1043958473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.64,
              "providers": [
                {
                  "billed_charge": 52.64,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104631415"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 70.18,
                  "npi": [
                    1104631415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.92,
              "providers": [
                {
                  "billed_charge": 64.92,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.92,
              "providers": [
                {
                  "billed_charge": 64.92,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 78.95,
              "providers": [
                {
                  "billed_charge": 78.95,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568842813"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.92,
              "providers": [
                {
                  "billed_charge": 64.92,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.64,
              "providers": [
                {
                  "billed_charge": 52.64,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.64,
              "providers": [
                {
                  "billed_charge": 52.64,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99395",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.46,
              "providers": [
                {
                  "billed_charge": 148.46,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 174.66,
              "providers": [
                {
                  "billed_charge": 174.66,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.2,
              "providers": [
                {
                  "billed_charge": 175.2,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.2,
              "providers": [
                {
                  "billed_charge": 175.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215255799"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1215255799
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.66,
              "providers": [
                {
                  "billed_charge": 174.66,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.66,
              "providers": [
                {
                  "billed_charge": 174.66,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.66,
              "providers": [
                {
                  "billed_charge": 174.66,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548212814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1548212814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.66,
              "providers": [
                {
                  "billed_charge": 174.66,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.8,
              "providers": [
                {
                  "billed_charge": 106.8,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            },
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679570352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.2,
              "providers": [
                {
                  "billed_charge": 175.2,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922077148"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1922077148
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.78,
              "providers": [
                {
                  "billed_charge": 71.78,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urgent care center visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Urgent care center visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033381462"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1033381462
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073842399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1073842399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093927881"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1093927881
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104857895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1104857895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164755708"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 186.67,
              "providers": [
                {
                  "billed_charge": 186.67,
                  "npi": [
                    1164755708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164899167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.6,
              "providers": [
                {
                  "billed_charge": 145.6,
                  "npi": [
                    1164899167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174637540"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1174637540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184638942"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.43,
              "providers": [
                {
                  "billed_charge": 91.43,
                  "npi": [
                    1184638942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205169836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1205169836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.27,
              "providers": [
                {
                  "billed_charge": 151.88,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245813328"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1245813328
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306836804"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.0,
              "providers": [
                {
                  "billed_charge": 289.0,
                  "npi": [
                    1306836804
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376261636"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1376261636
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396858999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1396858999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417992710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.2,
              "providers": [
                {
                  "billed_charge": 107.2,
                  "npi": [
                    1417992710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437259470"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.58,
              "providers": [
                {
                  "billed_charge": 87.58,
                  "npi": [
                    1437259470
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.43,
              "providers": [
                {
                  "billed_charge": 91.43,
                  "npi": [
                    1437259470
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 186.3,
                  "npi": [
                    1437259470
                  ]
                },
                {
                  "billed_charge": 205.2,
                  "npi": [
                    1437259470
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.3,
              "providers": [
                {
                  "billed_charge": 125.3,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487845020"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.64,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1487845020
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558313460"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1558313460
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578615266"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1578615266
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578693321"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.15,
              "providers": [
                {
                  "billed_charge": 50.15,
                  "npi": [
                    1578693321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609189604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.59,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1609189604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609247949"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1609247949
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609695378"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1609695378
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609959931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1609959931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619209145"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1619209145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619716404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1619716404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.1,
              "providers": [
                {
                  "billed_charge": 123.1,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659334043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.44,
              "providers": [
                {
                  "billed_charge": 23.44,
                  "npi": [
                    1659334043
                  ]
                }
              ]
            },
            {
              "allowed_amount": 63.0,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1659334043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077364"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.1,
              "providers": [
                {
                  "billed_charge": 123.1,
                  "npi": [
                    1689077364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689973638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1689973638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699728972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1699728972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720220098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1720220098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780467555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1780467555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780803759"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.3,
              "providers": [
                {
                  "billed_charge": 125.3,
                  "npi": [
                    1780803759
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801208376"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1801208376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831426618"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.48,
              "providers": [
                {
                  "billed_charge": 91.48,
                  "npi": [
                    1831426618
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871015693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1871015693
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902525470"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1902525470
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942562426"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 348.0,
                  "npi": [
                    1942562426
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.58,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073509881"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.08,
                  "npi": [
                    1073509881
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.08,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.41,
              "providers": [
                {
                  "billed_charge": 20.41,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 15.76,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487444212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.24,
              "providers": [
                {
                  "billed_charge": 7.24,
                  "npi": [
                    1487444212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568562551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.23,
                  "npi": [
                    1568562551
                  ]
                },
                {
                  "billed_charge": 9.29,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609189604"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609189604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.41,
              "providers": [
                {
                  "billed_charge": 8.41,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.24,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720018971"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.82,
                  "npi": [
                    1720018971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 18.68,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811069685"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1811069685
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.22,
              "providers": [
                {
                  "billed_charge": 12.22,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.69,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942385794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942385794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982728036"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1982728036
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure chorionic gonadotropin (hcg)",
      "billing_code_type": "CPT",
      "billing_code": "84702",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure chorionic gonadotropin (hcg)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.86,
              "providers": [
                {
                  "billed_charge": 33.86,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992894695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.22,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1992894695
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for joint injection and/or fluid removal (using suction)",
      "billing_code_type": "CPT",
      "billing_code": "20610",
      "billing_code_type_version": "2026",
      "description": "Provider fee for joint injection and/or fluid removal (using suction)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "24"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.41,
              "providers": [
                {
                  "billed_charge": 58.41,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 98.21,
              "providers": [
                {
                  "billed_charge": 98.21,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.94,
              "providers": [
                {
                  "billed_charge": 130.94,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.32,
              "providers": [
                {
                  "billed_charge": 147.32,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.4,
              "providers": [
                {
                  "billed_charge": 94.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99215",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003601220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.0,
              "providers": [
                {
                  "billed_charge": 181.0,
                  "npi": [
                    1003601220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427172774"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1427172774
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801292792"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.85,
              "providers": [
                {
                  "billed_charge": 131.85,
                  "npi": [
                    1801292792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.1,
              "providers": [
                {
                  "billed_charge": 589.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861480543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.2,
              "providers": [
                {
                  "billed_charge": 256.2,
                  "npi": [
                    1861480543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932152931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1932152931
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063457380"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1063457380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083793525"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1083793525
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184621161"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1184621161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306836804"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1306836804
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558105890"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1558105890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568497220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1568497220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609755701"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 21.78,
                  "npi": [
                    1609755701
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.41,
              "providers": [
                {
                  "billed_charge": 8.41,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679820534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1679820534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for bundle of general lab tests",
      "billing_code_type": "CPT",
      "billing_code": "80050",
      "billing_code_type_version": "2026",
      "description": "Lab fee for bundle of general lab tests",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194234310"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 286.2,
                  "npi": [
                    1194234310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 105.63,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.33,
              "providers": [
                {
                  "billed_charge": 19.33,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.03,
              "providers": [
                {
                  "billed_charge": 26.03,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275561185"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 286.2,
                  "npi": [
                    1275561185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659472306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.1,
              "providers": [
                {
                  "billed_charge": 102.8,
                  "npi": [
                    1659472306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.57,
              "providers": [
                {
                  "billed_charge": 30.57,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043269871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 338.0,
                  "npi": [
                    1043269871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083073092"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1083073092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144043290"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1144043290
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154701860"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.0,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1154701860
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285414839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1285414839
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396579553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1396579553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396891016"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.65,
              "providers": [
                {
                  "billed_charge": 179.65,
                  "npi": [
                    1396891016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427538610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.09,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1427538610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457878654"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1457878654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528931490"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.44,
              "providers": [
                {
                  "billed_charge": 142.44,
                  "npi": [
                    1528931490
                  ]
                }
              ]
            },
            {
              "allowed_amount": 142.48,
              "providers": [
                {
                  "billed_charge": 142.48,
                  "npi": [
                    1528931490
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558798405"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1558798405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578537767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.31,
              "providers": [
                {
                  "billed_charge": 106.44,
                  "npi": [
                    1578537767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588234215"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1588234215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619594215"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 1258.0,
                  "npi": [
                    1619594215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801198023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.8,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1801198023
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.38,
              "providers": [
                {
                  "billed_charge": 155.38,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.44,
              "providers": [
                {
                  "billed_charge": 143.44,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144803693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.84,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1144803693
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.25,
              "providers": [
                {
                  "billed_charge": 146.25,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437320322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1437320322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477890689"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.73,
              "providers": [
                {
                  "billed_charge": 169.73,
                  "npi": [
                    1477890689
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538421672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1538421672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568495299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.6,
              "providers": [
                {
                  "billed_charge": 101.6,
                  "npi": [
                    1568495299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.4,
              "providers": [
                {
                  "billed_charge": 149.4,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.4,
              "providers": [
                {
                  "billed_charge": 149.4,
                  "npi": [
                    1598776981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.09,
              "providers": [
                {
                  "billed_charge": 179.09,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710983200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1710983200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750426151"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1750426151
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821894510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1821894510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831292143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.0,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1831292143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871738146"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.22,
              "providers": [
                {
                  "billed_charge": 110.22,
                  "npi": [
                    1871738146
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871913731"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1871913731
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881648210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1881648210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881948073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.5,
              "providers": [
                {
                  "billed_charge": 121.5,
                  "npi": [
                    1881948073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891848271"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1891848271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982187647"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 102.0,
                  "npi": [
                    1982187647
                  ]
                }
              ]
            },
            {
              "allowed_amount": 101.44,
              "providers": [
                {
                  "billed_charge": 102.0,
                  "npi": [
                    1982187647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982708269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.2,
              "providers": [
                {
                  "billed_charge": 161.2,
                  "npi": [
                    1982708269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982993010"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1982993010
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093212375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1093212375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114382918"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1114382918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194252783"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1194252783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 217.1,
              "providers": [
                {
                  "billed_charge": 217.1,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265775209"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.09,
              "providers": [
                {
                  "billed_charge": 203.4,
                  "npi": [
                    1265775209
                  ]
                }
              ]
            },
            {
              "allowed_amount": 191.44,
              "providers": [
                {
                  "billed_charge": 203.4,
                  "npi": [
                    1265775209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376223859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 242.0,
                  "npi": [
                    1376223859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548273592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1548273592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558659854"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 248.8,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1558659854
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699231688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1699231688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700038239"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1700038239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730115528"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 217.0,
              "providers": [
                {
                  "billed_charge": 217.0,
                  "npi": [
                    1730115528
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760590962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.9,
              "providers": [
                {
                  "billed_charge": 339.0,
                  "npi": [
                    1760590962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760733448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1760733448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821234246"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 154.19,
                  "npi": [
                    1821234246
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912454224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 245.0,
                  "npi": [
                    1912454224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922397553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 386.0,
                  "npi": [
                    1922397553
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043782931"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 212.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1043782931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.64,
              "providers": [
                {
                  "billed_charge": 121.64,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053353896"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.25,
              "providers": [
                {
                  "billed_charge": 27.25,
                  "npi": [
                    1053353896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134484892"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1134484892
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154007920"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 209.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1154007920
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154860427"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1154860427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245399344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245399344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275871907"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1275871907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356321442"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1356321442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366515298"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1366515298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366743569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1366743569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366816043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 317.0,
              "providers": [
                {
                  "billed_charge": 317.0,
                  "npi": [
                    1366816043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427811280"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 86.57,
              "providers": [
                {
                  "billed_charge": 86.57,
                  "npi": [
                    1427811280
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427811280
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467462101"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1467462101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548212988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.03,
              "providers": [
                {
                  "billed_charge": 78.03,
                  "npi": [
                    1548212988
                  ]
                }
              ]
            },
            {
              "allowed_amount": 104.34,
              "providers": [
                {
                  "billed_charge": 151.47,
                  "npi": [
                    1548212988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598756363"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.28,
              "providers": [
                {
                  "billed_charge": 92.28,
                  "npi": [
                    1598756363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669542643"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1669542643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669791323"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1669791323
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831302066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1831302066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861028300"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1861028300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861449407"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.9,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1861449407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891083036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1891083036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891974416"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1891974416
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902298466"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 157.77,
                  "npi": [
                    1902298466
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912560202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1912560202
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.78,
              "providers": [
                {
                  "billed_charge": 44.78,
                  "npi": [
                    1912560202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952476335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.14,
              "providers": [
                {
                  "billed_charge": 24.14,
                  "npi": [
                    1952476335
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1952476335
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003709080"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.74,
              "providers": [
                {
                  "billed_charge": 49.74,
                  "npi": [
                    1003709080
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1003709080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245823244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1245823244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386697928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.49,
              "providers": [
                {
                  "billed_charge": 62.0,
                  "npi": [
                    1386697928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457213712"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.51,
              "providers": [
                {
                  "billed_charge": 28.51,
                  "npi": [
                    1457213712
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1457213712
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1457213712
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659565182"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1659565182
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750615373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.18,
              "providers": [
                {
                  "billed_charge": 20.18,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.28,
              "providers": [
                {
                  "billed_charge": 24.28,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.51,
              "providers": [
                {
                  "billed_charge": 24.51,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.52,
              "providers": [
                {
                  "billed_charge": 24.52,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.52,
              "providers": [
                {
                  "billed_charge": 27.52,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.82,
              "providers": [
                {
                  "billed_charge": 30.82,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.5,
              "providers": [
                {
                  "billed_charge": 41.5,
                  "npi": [
                    1750615373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972449403"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1972449403
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073702114"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1073702114
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124002340"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1124002340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205967718"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1205967718
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1205967718
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447039672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1447039672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518921584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1518921584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548917313"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1548917313
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649528902"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1649528902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750779757"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.81,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1750779757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760552657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1760552657
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1760552657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972880854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1972880854
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1972880854
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Office visit facility fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Office visit facility fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013527845"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013527845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013993310"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1013993310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083938443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.97,
              "providers": [
                {
                  "billed_charge": 80.97,
                  "npi": [
                    1083938443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114685948"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 151.5,
                  "npi": [
                    1114685948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154277762"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.25,
              "providers": [
                {
                  "billed_charge": 142.25,
                  "npi": [
                    1154277762
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255846515"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1255846515
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295862944"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1295862944
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 104.61,
              "providers": [
                {
                  "billed_charge": 313.65,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.88,
              "providers": [
                {
                  "billed_charge": 133.09,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 282.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437980174"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.02,
              "providers": [
                {
                  "billed_charge": 103.02,
                  "npi": [
                    1437980174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457474900"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.41,
              "providers": [
                {
                  "billed_charge": 113.13,
                  "npi": [
                    1457474900
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467552471"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.79,
              "providers": [
                {
                  "billed_charge": 83.79,
                  "npi": [
                    1467552471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538115092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538115092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548314305"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.6,
              "providers": [
                {
                  "billed_charge": 126.6,
                  "npi": [
                    1548314305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.2,
              "providers": [
                {
                  "billed_charge": 121.2,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669756532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.2,
              "providers": [
                {
                  "billed_charge": 88.2,
                  "npi": [
                    1669756532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780355503"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1780355503
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780467555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1780467555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811121619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1811121619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.68,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1811121619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821959560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.68,
              "providers": [
                {
                  "billed_charge": 175.68,
                  "npi": [
                    1821959560
                  ]
                }
              ]
            },
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1821959560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003863580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1003863580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.58,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.58,
              "providers": [
                {
                  "billed_charge": 12.58,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1134152986
                  ]
                },
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 18.85,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.24,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.3,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437122009"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.6,
              "providers": [
                {
                  "billed_charge": 41.6,
                  "npi": [
                    1437122009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467675629"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 20.82,
                  "npi": [
                    1467675629
                  ]
                },
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467675629
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.6,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 36.6,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.41,
              "providers": [
                {
                  "billed_charge": 8.41,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.24,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699819003"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.9,
              "providers": [
                {
                  "billed_charge": 6.9,
                  "npi": [
                    1699819003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750317228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to test for hpv",
      "billing_code_type": "CPT",
      "billing_code": "87624",
      "billing_code_type_version": "2026",
      "description": "Lab fee to test for hpv",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.95,
              "providers": [
                {
                  "billed_charge": 78.95,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.73,
              "providers": [
                {
                  "billed_charge": 128.73,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013008192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.6,
              "providers": [
                {
                  "billed_charge": 153.6,
                  "npi": [
                    1013008192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023000296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.8,
              "providers": [
                {
                  "billed_charge": 124.8,
                  "npi": [
                    1023000296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093980138"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.2,
              "providers": [
                {
                  "billed_charge": 26.2,
                  "npi": [
                    1093980138
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114286721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.6,
              "providers": [
                {
                  "billed_charge": 153.6,
                  "npi": [
                    1114286721
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144632092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.5,
              "providers": [
                {
                  "billed_charge": 78.5,
                  "npi": [
                    1144632092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164519393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.6,
              "providers": [
                {
                  "billed_charge": 153.6,
                  "npi": [
                    1164519393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164706180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.94,
              "providers": [
                {
                  "billed_charge": 109.94,
                  "npi": [
                    1164706180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.69,
              "providers": [
                {
                  "billed_charge": 160.69,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215712096"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1215712096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215907522"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.77,
              "providers": [
                {
                  "billed_charge": 179.77,
                  "npi": [
                    1215907522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.52,
              "providers": [
                {
                  "billed_charge": 173.05,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 278.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            },
            {
              "allowed_amount": 157.27,
              "providers": [
                {
                  "billed_charge": 180.7,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366532038"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1366532038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407837826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1407837826
                  ]
                }
              ]
            },
            {
              "allowed_amount": 103.8,
              "providers": [
                {
                  "billed_charge": 103.8,
                  "npi": [
                    1407837826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.8,
              "providers": [
                {
                  "billed_charge": 124.8,
                  "npi": [
                    1407844970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1447259379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457549529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1457549529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558325373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1558325373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568450856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.27,
              "providers": [
                {
                  "billed_charge": 180.7,
                  "npi": [
                    1568450856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 124.8,
                  "npi": [
                    1578545273
                  ]
                },
                {
                  "billed_charge": 192.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 124.8,
              "providers": [
                {
                  "billed_charge": 124.8,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699988998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1699988998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770752123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.46,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1770752123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811933625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1811933625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811950447"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.02,
              "providers": [
                {
                  "billed_charge": 270.75,
                  "npi": [
                    1811950447
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902357494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1902357494
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912066499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 361.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942655154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1942655154
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99395",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023071867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1023071867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053323972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1053323972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053458927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.8,
              "providers": [
                {
                  "billed_charge": 154.8,
                  "npi": [
                    1053458927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063089571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1063089571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073523452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.05,
              "providers": [
                {
                  "billed_charge": 258.0,
                  "npi": [
                    1073523452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083688980"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.05,
              "providers": [
                {
                  "billed_charge": 197.6,
                  "npi": [
                    1083688980
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.42,
              "providers": [
                {
                  "billed_charge": 166.73,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124139514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.05,
              "providers": [
                {
                  "billed_charge": 148.4,
                  "npi": [
                    1124139514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134254741"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1134254741
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134921943"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.9,
              "providers": [
                {
                  "billed_charge": 226.0,
                  "npi": [
                    1134921943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174182711"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.41,
              "providers": [
                {
                  "billed_charge": 122.41,
                  "npi": [
                    1174182711
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275561185"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 176.85,
              "providers": [
                {
                  "billed_charge": 210.85,
                  "npi": [
                    1275561185
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366443368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.5,
              "providers": [
                {
                  "billed_charge": 140.5,
                  "npi": [
                    1366443368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376504084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 212.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1376504084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467230441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.68,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1467230441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477066355"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 272.0,
                  "npi": [
                    1477066355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508804832"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.84,
              "providers": [
                {
                  "billed_charge": 216.09,
                  "npi": [
                    1508804832
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538454905"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.32,
              "providers": [
                {
                  "billed_charge": 220.32,
                  "npi": [
                    1538454905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578330452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1578330452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578501474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 258.0,
              "providers": [
                {
                  "billed_charge": 258.0,
                  "npi": [
                    1578501474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578564043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1578564043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578666053"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.5,
              "providers": [
                {
                  "billed_charge": 122.5,
                  "npi": [
                    1578666053
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609064971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.7,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1609064971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689802159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1689802159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730468588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 277.01,
              "providers": [
                {
                  "billed_charge": 313.01,
                  "npi": [
                    1730468588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760457014"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1760457014
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831561158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1831561158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851418404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1851418404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881460236"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1881460236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932182037"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1932182037
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942214614"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.7,
              "providers": [
                {
                  "billed_charge": 168.7,
                  "npi": [
                    1942214614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952703373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1952703373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962591131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.05,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1962591131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962985036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1962985036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982698718"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1982698718
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003200031"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.32,
              "providers": [
                {
                  "billed_charge": 21.32,
                  "npi": [
                    1003200031
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174049597"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1174049597
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194434803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194434803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.82,
              "providers": [
                {
                  "billed_charge": 22.82,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.57,
              "providers": [
                {
                  "billed_charge": 34.57,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316643901"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1316643901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326205543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.88,
              "providers": [
                {
                  "billed_charge": 12.88,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.36,
              "providers": [
                {
                  "billed_charge": 13.36,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.97,
              "providers": [
                {
                  "billed_charge": 17.97,
                  "npi": [
                    1326205543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396139317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.84,
              "providers": [
                {
                  "billed_charge": 16.84,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.32,
              "providers": [
                {
                  "billed_charge": 21.32,
                  "npi": [
                    1396139317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.83,
              "providers": [
                {
                  "billed_charge": 59.83,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538649611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.7,
              "providers": [
                {
                  "billed_charge": 13.7,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.31,
              "providers": [
                {
                  "billed_charge": 21.31,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.32,
              "providers": [
                {
                  "billed_charge": 21.32,
                  "npi": [
                    1538649611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538828306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609264795"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1609264795
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1609264795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780460667"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 74.16,
              "providers": [
                {
                  "billed_charge": 74.16,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            },
            {
              "allowed_amount": 76.89,
              "providers": [
                {
                  "billed_charge": 76.89,
                  "npi": [
                    1780460667
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851946909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1851946909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083355192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1083355192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114268570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.6,
              "providers": [
                {
                  "billed_charge": 123.6,
                  "npi": [
                    1114268570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205536083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1205536083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427482918"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1427482918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477426153"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1477426153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497899058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1497899058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598428211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1598428211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639954910"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1639954910
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1639954910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689368920"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1689368920
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780735597"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1780735597
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811915713"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1811915713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Discharge management provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99238",
      "billing_code_type_version": "2026",
      "description": "Discharge management provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.58,
              "providers": [
                {
                  "billed_charge": 109.58,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.58,
              "providers": [
                {
                  "billed_charge": 109.58,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 109.58,
              "providers": [
                {
                  "billed_charge": 109.58,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811097223"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.48,
              "providers": [
                {
                  "billed_charge": 120.48,
                  "npi": [
                    1811097223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.6,
              "providers": [
                {
                  "billed_charge": 113.6,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.48,
              "providers": [
                {
                  "billed_charge": 146.1,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for thyroid stimulating hormone (tsh) test",
      "billing_code_type": "CPT",
      "billing_code": "84443",
      "billing_code_type_version": "2026",
      "description": "Lab fee for thyroid stimulating hormone (tsh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245283993"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 52.4,
                  "npi": [
                    1245283993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.8,
              "providers": [
                {
                  "billed_charge": 37.8,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.6,
              "providers": [
                {
                  "billed_charge": 75.6,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.8,
              "providers": [
                {
                  "billed_charge": 37.8,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003601220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1003601220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013642636"
          },
          "service_code": [
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1013642636
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063059871"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1063059871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184922379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1184922379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225582752"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1225582752
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336766591"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336766591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356201941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1356201941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376883850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1376883850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457077646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1457077646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568593176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1568593176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.27,
              "providers": [
                {
                  "billed_charge": 135.27,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841550696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1841550696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861906216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1861906216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972168078"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1972168078
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982715728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1982715728
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033225552"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1033225552
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 78.96,
              "providers": [
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.84,
              "providers": [
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063729259"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 265.62,
              "providers": [
                {
                  "billed_charge": 265.62,
                  "npi": [
                    1063729259
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073013603"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1073013603
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083293229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 141.7,
                  "npi": [
                    1083293229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093042087"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 387.0,
              "providers": [
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1093042087
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093138109"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.8,
              "providers": [
                {
                  "billed_charge": 118.8,
                  "npi": [
                    1093138109
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114685948"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1114685948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.49,
              "providers": [
                {
                  "billed_charge": 90.49,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 535.66,
              "providers": [
                {
                  "billed_charge": 535.66,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164943395"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1164943395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.75,
              "providers": [
                {
                  "billed_charge": 99.75,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.52,
              "providers": [
                {
                  "billed_charge": 100.52,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205967718"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.0,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1205967718
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225197262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1225197262
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1225197262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235174327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.2,
              "providers": [
                {
                  "billed_charge": 83.2,
                  "npi": [
                    1235174327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.26,
              "providers": [
                {
                  "billed_charge": 108.26,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.36,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235662628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1235662628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235871914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235871914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285173195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.25,
              "providers": [
                {
                  "billed_charge": 159.25,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295047348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1295047348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295824183"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1295824183
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "19",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            },
            {
              "allowed_amount": 116.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346345352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1346345352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346549383"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1346549383
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1356384143
                  ]
                },
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356612261"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.84,
              "providers": [
                {
                  "billed_charge": 105.84,
                  "npi": [
                    1356612261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366524803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1366524803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386824225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1386824225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386893832"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.9,
              "providers": [
                {
                  "billed_charge": 146.9,
                  "npi": [
                    1386893832
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386988004"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.96,
              "providers": [
                {
                  "billed_charge": 107.96,
                  "npi": [
                    1386988004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407514532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1407514532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.91,
              "providers": [
                {
                  "billed_charge": 327.35,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 327.35,
              "providers": [
                {
                  "billed_charge": 327.35,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447612726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.4,
              "providers": [
                {
                  "billed_charge": 68.4,
                  "npi": [
                    1447612726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457303802"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1457303802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457549529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1457549529
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.75,
              "providers": [
                {
                  "billed_charge": 167.75,
                  "npi": [
                    1457549529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457652067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1457652067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467961078"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1467961078
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497730550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1497730550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497759229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.25,
              "providers": [
                {
                  "billed_charge": 83.25,
                  "npi": [
                    1497759229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518104280"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.62,
              "providers": [
                {
                  "billed_charge": 29.62,
                  "npi": [
                    1518104280
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528528726"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1528528726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568458925"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.7,
              "providers": [
                {
                  "billed_charge": 470.26,
                  "npi": [
                    1568458925
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568970333"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1568970333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11",
            "22",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.3,
              "providers": [
                {
                  "billed_charge": 11.3,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.19,
              "providers": [
                {
                  "billed_charge": 18.19,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.29,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 189.15,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578805677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1578805677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588629117"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1588629117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588769061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 285.0,
                  "npi": [
                    1588769061
                  ]
                }
              ]
            },
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1588769061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588925457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 285.0,
                  "npi": [
                    1588925457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598131237"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1598131237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619230802"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1619230802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619276656"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 213.0,
                  "npi": [
                    1619276656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619959822"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.25,
              "providers": [
                {
                  "billed_charge": 81.25,
                  "npi": [
                    1619959822
                  ]
                }
              ]
            },
            {
              "allowed_amount": 123.25,
              "providers": [
                {
                  "billed_charge": 162.5,
                  "npi": [
                    1619959822
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669661880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1669661880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669978029"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1669978029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689319659"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.37,
              "providers": [
                {
                  "billed_charge": 106.37,
                  "npi": [
                    1689319659
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.97,
              "providers": [
                {
                  "billed_charge": 90.97,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.52,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740398890"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1740398890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740572320"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 342.2,
              "providers": [
                {
                  "billed_charge": 342.2,
                  "npi": [
                    1740572320
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750330551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1750330551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750347662"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1750347662
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760103097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1760103097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760799415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1760799415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.54,
              "providers": [
                {
                  "billed_charge": 187.85,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.88,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.85,
              "providers": [
                {
                  "billed_charge": 187.85,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811950447"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.95,
              "providers": [
                {
                  "billed_charge": 166.5,
                  "npi": [
                    1811950447
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841272069"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.31,
              "providers": [
                {
                  "billed_charge": 32.31,
                  "npi": [
                    1841272069
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861449407"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1861449407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891788477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1891788477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902128358"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1902128358
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912066499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912965674"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.9,
              "providers": [
                {
                  "billed_charge": 107.9,
                  "npi": [
                    1912965674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972571321"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972571321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992755086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1992755086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.87,
              "providers": [
                {
                  "billed_charge": 76.87,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073927117"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.37,
              "providers": [
                {
                  "billed_charge": 488.0,
                  "npi": [
                    1073927117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "22",
            "23",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 86.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.49,
              "providers": [
                {
                  "billed_charge": 13.49,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.37,
              "providers": [
                {
                  "billed_charge": 40.37,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 86.0,
              "providers": [
                {
                  "billed_charge": 86.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386980837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.72,
              "providers": [
                {
                  "billed_charge": 7.2,
                  "npi": [
                    1386980837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508810565"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.37,
              "providers": [
                {
                  "billed_charge": 40.37,
                  "npi": [
                    1508810565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.49,
              "providers": [
                {
                  "billed_charge": 13.49,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649247974"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1649247974
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740715333"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1740715333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811982770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811982770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851439830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.6,
              "providers": [
                {
                  "billed_charge": 9.6,
                  "npi": [
                    1851439830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073399739"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.5,
              "providers": [
                {
                  "billed_charge": 71.5,
                  "npi": [
                    1073399739
                  ]
                }
              ]
            },
            {
              "allowed_amount": 109.27,
              "providers": [
                {
                  "billed_charge": 110.5,
                  "npi": [
                    1073399739
                  ]
                },
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1073399739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205043742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1205043742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295155281"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 285.0,
              "providers": [
                {
                  "billed_charge": 285.0,
                  "npi": [
                    1295155281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710338918"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.21,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710338918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760959779"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.59,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1760959779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.9,
              "providers": [
                {
                  "billed_charge": 113.9,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831871748"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1831871748
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861745903"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1861745903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902128929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1902128929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.28,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013670934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.48,
              "providers": [
                {
                  "billed_charge": 239.48,
                  "npi": [
                    1013670934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043033376"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.64,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1043033376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104989136"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.3,
              "providers": [
                {
                  "billed_charge": 168.3,
                  "npi": [
                    1104989136
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124064118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.2,
              "providers": [
                {
                  "billed_charge": 205.2,
                  "npi": [
                    1124064118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 214.01,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1124064118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124261797"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.97,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1124261797
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154643096"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.64,
              "providers": [
                {
                  "billed_charge": 587.0,
                  "npi": [
                    1154643096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164526786"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.5,
              "providers": [
                {
                  "billed_charge": 250.5,
                  "npi": [
                    1164526786
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164788790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 216.67,
              "providers": [
                {
                  "billed_charge": 216.67,
                  "npi": [
                    1164788790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194782409"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.64,
              "providers": [
                {
                  "billed_charge": 293.64,
                  "npi": [
                    1194782409
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235600834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.05,
              "providers": [
                {
                  "billed_charge": 141.05,
                  "npi": [
                    1235600834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245471556"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1245471556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285678532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.65,
              "providers": [
                {
                  "billed_charge": 118.65,
                  "npi": [
                    1285678532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285684225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.01,
              "providers": [
                {
                  "billed_charge": 163.01,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            },
            {
              "allowed_amount": 188.5,
              "providers": [
                {
                  "billed_charge": 188.5,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306641097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.34,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1306641097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356865737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1356865737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376920488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1376920488
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376920488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396277968"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.76,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1396277968
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 649.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427109313"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 368.0,
              "providers": [
                {
                  "billed_charge": 368.0,
                  "npi": [
                    1427109313
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427184654"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427184654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427355080"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 231.04,
              "providers": [
                {
                  "billed_charge": 231.04,
                  "npi": [
                    1427355080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437194156"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1437194156
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447225420"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1447225420
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457695413"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.5,
              "providers": [
                {
                  "billed_charge": 267.0,
                  "npi": [
                    1457695413
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477190999"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1477190999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477633881"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 385.25,
              "providers": [
                {
                  "billed_charge": 385.25,
                  "npi": [
                    1477633881
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497934061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 232.0,
              "providers": [
                {
                  "billed_charge": 258.0,
                  "npi": [
                    1497934061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508987694"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.6,
              "providers": [
                {
                  "billed_charge": 234.59,
                  "npi": [
                    1508987694
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518388941"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.5,
              "providers": [
                {
                  "billed_charge": 87.5,
                  "npi": [
                    1518388941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588802474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 350.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1588802474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619117058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1619117058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649514423"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 227.15,
              "providers": [
                {
                  "billed_charge": 227.15,
                  "npi": [
                    1649514423
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659425825"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 492.88,
              "providers": [
                {
                  "billed_charge": 492.88,
                  "npi": [
                    1659425825
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740234780"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 310.34,
              "providers": [
                {
                  "billed_charge": 310.34,
                  "npi": [
                    1740234780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760953434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.0,
              "providers": [
                {
                  "billed_charge": 171.0,
                  "npi": [
                    1760953434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790417053"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 204.0,
              "providers": [
                {
                  "billed_charge": 204.0,
                  "npi": [
                    1790417053
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.36,
              "providers": [
                {
                  "billed_charge": 177.36,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801926506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 633.0,
              "providers": [
                {
                  "billed_charge": 649.0,
                  "npi": [
                    1801926506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811912611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 350.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1811912611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811944101"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1811944101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851421531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1851421531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891161626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.6,
              "providers": [
                {
                  "billed_charge": 171.6,
                  "npi": [
                    1891161626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891745212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.98,
              "providers": [
                {
                  "billed_charge": 197.82,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902271661"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 449.08,
                  "npi": [
                    1902271661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902877038"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1902877038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902893928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 211.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1902893928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912029687"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1912029687
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912393455"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 244.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1912393455
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922757111"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1922757111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942240346"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1942240346
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942949938"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1942949938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982674206"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 229.18,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1982674206
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992999544"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 218.54,
              "providers": [
                {
                  "billed_charge": 315.0,
                  "npi": [
                    1992999544
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urgent care center visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Urgent care center visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 470.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194778050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 851.0,
                  "npi": [
                    1194778050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275639478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.76,
              "providers": [
                {
                  "billed_charge": 177.76,
                  "npi": [
                    1275639478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306367503"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 533.28,
                  "npi": [
                    1306367503
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306590443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1306590443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316940695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 299.0,
                  "npi": [
                    1316940695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386156081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1386156081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427685650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 299.0,
              "providers": [
                {
                  "billed_charge": 299.0,
                  "npi": [
                    1427685650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437207933"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1437207933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477788867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1477788867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619438348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1619438348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669817144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 219.23,
              "providers": [
                {
                  "billed_charge": 267.0,
                  "npi": [
                    1669817144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699968057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 211.54,
              "providers": [
                {
                  "billed_charge": 446.5,
                  "npi": [
                    1699968057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720248347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 267.2,
              "providers": [
                {
                  "billed_charge": 267.2,
                  "npi": [
                    1720248347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730441841"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 287.18,
              "providers": [
                {
                  "billed_charge": 287.18,
                  "npi": [
                    1730441841
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750626495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 369.82,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            },
            {
              "allowed_amount": 215.7,
              "providers": [
                {
                  "billed_charge": 215.7,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861492340"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 246.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1861492340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912861097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.08,
              "providers": [
                {
                  "billed_charge": 1191.0,
                  "npi": [
                    1912861097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912953290"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 1067.0,
                  "npi": [
                    1912953290
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922990555"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 318.75,
              "providers": [
                {
                  "billed_charge": 318.75,
                  "npi": [
                    1922990555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972391480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1972391480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992503445"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 245.66,
              "providers": [
                {
                  "billed_charge": 1067.0,
                  "npi": [
                    1992503445
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for extra complexity in an evaluation and management visit",
      "billing_code_type": "HCPCS",
      "billing_code": "G2211",
      "billing_code_type_version": "2026",
      "description": "Provider fee for extra complexity in an evaluation and management visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.21,
              "providers": [
                {
                  "billed_charge": 21.21,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497942890"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1497942890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568044063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.5,
              "providers": [
                {
                  "billed_charge": 19.5,
                  "npi": [
                    1568044063
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.77,
              "providers": [
                {
                  "billed_charge": 104.54,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073635587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1073635587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073734539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1073734539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.74,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154373199"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1154373199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.83,
              "providers": [
                {
                  "billed_charge": 122.81,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            },
            {
              "allowed_amount": 122.81,
              "providers": [
                {
                  "billed_charge": 122.81,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205203395"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.5,
              "providers": [
                {
                  "billed_charge": 133.5,
                  "npi": [
                    1205203395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205886926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.03,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.43,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205935814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1205935814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215063631"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1215063631
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215080106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.9,
              "providers": [
                {
                  "billed_charge": 107.9,
                  "npi": [
                    1215080106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 108.26,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 108.26,
              "providers": [
                {
                  "billed_charge": 108.26,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.98,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.36,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295044626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1295044626
                  ]
                }
              ]
            },
            {
              "allowed_amount": 231.0,
              "providers": [
                {
                  "billed_charge": 282.0,
                  "npi": [
                    1295044626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295047348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1295047348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356434773"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1356434773
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386031896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.0,
              "providers": [
                {
                  "billed_charge": 97.0,
                  "npi": [
                    1386031896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386988004"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1386988004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407872518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1407872518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427679067"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1427679067
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528350691"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1528350691
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1557266129"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1557266129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598107526"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.5,
              "providers": [
                {
                  "billed_charge": 103.5,
                  "npi": [
                    1598107526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609084375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.24,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1609084375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609378132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1609378132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609845551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.0,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1609845551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629615364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.0,
              "providers": [
                {
                  "billed_charge": 178.0,
                  "npi": [
                    1629615364
                  ]
                }
              ]
            },
            {
              "allowed_amount": 274.7,
              "providers": [
                {
                  "billed_charge": 274.7,
                  "npi": [
                    1629615364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689632051"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1689632051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.55,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720619059"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.53,
              "providers": [
                {
                  "billed_charge": 206.53,
                  "npi": [
                    1720619059
                  ]
                }
              ]
            },
            {
              "allowed_amount": 222.0,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1720619059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.97,
              "providers": [
                {
                  "billed_charge": 90.97,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.94,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740389766"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 205.2,
                  "npi": [
                    1740389766
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750749586"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.28,
              "providers": [
                {
                  "billed_charge": 126.28,
                  "npi": [
                    1750749586
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780997155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1780997155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801972146"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1801972146
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811089121"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.43,
              "providers": [
                {
                  "billed_charge": 91.43,
                  "npi": [
                    1811089121
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811492895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.8,
              "providers": [
                {
                  "billed_charge": 121.8,
                  "npi": [
                    1811492895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861449407"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.02,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1861449407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871986083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.4,
              "providers": [
                {
                  "billed_charge": 102.4,
                  "npi": [
                    1871986083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.2,
              "providers": [
                {
                  "billed_charge": 111.2,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 121.8,
              "providers": [
                {
                  "billed_charge": 121.8,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 278.0,
              "providers": [
                {
                  "billed_charge": 278.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003674862"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1003674862
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1003674862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124136791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1124136791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154799765"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1154799765
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205401072"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.0,
              "providers": [
                {
                  "billed_charge": 295.0,
                  "npi": [
                    1205401072
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295800811"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1295800811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386486363"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1386486363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558071027"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558634725"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1558634725
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730410705"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1730410705
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790091148"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1790091148
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922894690"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1922894690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.12,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ear, nose, & throat doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Ear, nose, & throat doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033468616"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 284.0,
              "providers": [
                {
                  "billed_charge": 284.0,
                  "npi": [
                    1033468616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053118794"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.13,
              "providers": [
                {
                  "billed_charge": 163.13,
                  "npi": [
                    1053118794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053981142"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1053981142
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134823388"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1134823388
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174782700"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 253.64,
              "providers": [
                {
                  "billed_charge": 273.64,
                  "npi": [
                    1174782700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194963959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 322.0,
              "providers": [
                {
                  "billed_charge": 322.0,
                  "npi": [
                    1194963959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255569273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1255569273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275358814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1275358814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295515252"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 488.0,
              "providers": [
                {
                  "billed_charge": 488.0,
                  "npi": [
                    1295515252
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326271313"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1326271313
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336535129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1336535129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407126394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 407.0,
              "providers": [
                {
                  "billed_charge": 407.0,
                  "npi": [
                    1407126394
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417909409"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.98,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1417909409
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447782131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.5,
              "providers": [
                {
                  "billed_charge": 221.5,
                  "npi": [
                    1447782131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689617714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 234.2,
              "providers": [
                {
                  "billed_charge": 417.7,
                  "npi": [
                    1689617714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700399433"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 245.0,
              "providers": [
                {
                  "billed_charge": 245.0,
                  "npi": [
                    1700399433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720492317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.8,
              "providers": [
                {
                  "billed_charge": 195.8,
                  "npi": [
                    1720492317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780002717"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1780002717
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801110424"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1801110424
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801204656"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.84,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1801204656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.36,
              "providers": [
                {
                  "billed_charge": 177.36,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851097646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.8,
              "providers": [
                {
                  "billed_charge": 148.8,
                  "npi": [
                    1851097646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871540237"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.44,
              "providers": [
                {
                  "billed_charge": 82.44,
                  "npi": [
                    1871540237
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952320061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 443.0,
                  "npi": [
                    1952320061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952557282"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1952557282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992812333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 350.25,
              "providers": [
                {
                  "billed_charge": 350.25,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 241.95,
              "providers": [
                {
                  "billed_charge": 241.95,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689776882"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689776882
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.78,
              "providers": [
                {
                  "billed_charge": 2.78,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003672387"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1003672387
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114702321"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1114702321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669503611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1669503611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861843880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1861843880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902511017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.66,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1902511017
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043293608"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1043293608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 39.5,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053403402"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1053403402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457146250"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457676736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 25.94,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477554475"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1477554475
                  ]
                },
                {
                  "billed_charge": 96.16,
                  "npi": [
                    1477554475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 96.16,
                  "npi": [
                    1477554475
                  ]
                }
              ]
            },
            {
              "allowed_amount": 86.54,
              "providers": [
                {
                  "billed_charge": 86.54,
                  "npi": [
                    1477554475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538183181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 48.01,
                  "npi": [
                    1538183181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811264393"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1811264393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.4,
              "providers": [
                {
                  "billed_charge": 34.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.24,
              "providers": [
                {
                  "billed_charge": 8.24,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.64,
              "providers": [
                {
                  "billed_charge": 54.64,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 24.1,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            },
            {
              "allowed_amount": 92.25,
              "providers": [
                {
                  "billed_charge": 92.25,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.05,
              "providers": [
                {
                  "billed_charge": 12.05,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689663130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1689663130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801884655"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 97.9,
                  "npi": [
                    1801884655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98940",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083993422"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.75,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1083993422
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114066032"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.34,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1114066032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225133028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1225133028
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1225133028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245258375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.4,
              "providers": [
                {
                  "billed_charge": 64.4,
                  "npi": [
                    1245258375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245471556"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1245471556
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1245471556
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366822322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1366822322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447295175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.58,
              "providers": [
                {
                  "billed_charge": 36.58,
                  "npi": [
                    1447295175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548351794"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.68,
              "providers": [
                {
                  "billed_charge": 29.68,
                  "npi": [
                    1548351794
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1548351794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558356329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1558356329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659455343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1659455343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.34,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Gastroenterologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Gastroenterologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063671063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1063671063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.84,
              "providers": [
                {
                  "billed_charge": 140.84,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144614025"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 241.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1144614025
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154031441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 178.0,
                  "npi": [
                    1154031441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.88,
              "providers": [
                {
                  "billed_charge": 151.88,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154572022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1154572022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164709770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.0,
              "providers": [
                {
                  "billed_charge": 173.0,
                  "npi": [
                    1164709770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.6,
              "providers": [
                {
                  "billed_charge": 102.6,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.11,
              "providers": [
                {
                  "billed_charge": 157.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255372207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.85,
              "providers": [
                {
                  "billed_charge": 142.85,
                  "npi": [
                    1255372207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356333249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.0,
              "providers": [
                {
                  "billed_charge": 236.0,
                  "npi": [
                    1356333249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457943912"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 235.98,
                  "npi": [
                    1457943912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508720913"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.3,
              "providers": [
                {
                  "billed_charge": 263.09,
                  "npi": [
                    1508720913
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.13,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.19,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730993270"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.4,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1730993270
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173748"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1790173748
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 236.0,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831257161"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.77,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1831257161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841224870"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1841224870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 246.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053353896"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1053353896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417227398"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 27.55,
                  "npi": [
                    1417227398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598756363"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.67,
              "providers": [
                {
                  "billed_charge": 4.67,
                  "npi": [
                    1598756363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 25.69,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972503464"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.17,
              "providers": [
                {
                  "billed_charge": 3.17,
                  "npi": [
                    1972503464
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013113760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1013113760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053824292"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1053824292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.72,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.84,
              "providers": [
                {
                  "billed_charge": 4.84,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.17,
              "providers": [
                {
                  "billed_charge": 38.84,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255380127"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 73.45,
                  "npi": [
                    1255380127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366483257"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1366483257
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366515488"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 57.6,
                  "npi": [
                    1366515488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376504084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1376504084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 46.9,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 17.5,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 38.34,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649385436"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1649385436
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659472306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 51.4,
                  "npi": [
                    1659472306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659523207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1659523207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.38,
              "providers": [
                {
                  "billed_charge": 7.38,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699791343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.54,
              "providers": [
                {
                  "billed_charge": 9.54,
                  "npi": [
                    1699791343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.45,
              "providers": [
                {
                  "billed_charge": 8.45,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760471585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.75,
              "providers": [
                {
                  "billed_charge": 9.75,
                  "npi": [
                    1760471585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821301979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1821301979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841408283"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.68,
              "providers": [
                {
                  "billed_charge": 10.68,
                  "npi": [
                    1841408283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962985036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1962985036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992764419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1992764419
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Cardiologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Cardiologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033195474"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.34,
              "providers": [
                {
                  "billed_charge": 88.34,
                  "npi": [
                    1033195474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033732128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1033732128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093722761"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1093722761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093769028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.21,
              "providers": [
                {
                  "billed_charge": 119.21,
                  "npi": [
                    1093769028
                  ]
                }
              ]
            },
            {
              "allowed_amount": 399.97,
              "providers": [
                {
                  "billed_charge": 399.97,
                  "npi": [
                    1093769028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124556642"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1124556642
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154414159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1154414159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.42,
              "providers": [
                {
                  "billed_charge": 112.42,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275308660"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1275308660
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316940695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1316940695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.25,
              "providers": [
                {
                  "billed_charge": 72.25,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346226404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1346226404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366529968"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.25,
              "providers": [
                {
                  "billed_charge": 140.25,
                  "npi": [
                    1366529968
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376609891"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1376609891
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396517579"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1396517579
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427228998"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1427228998
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447783899"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.0,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1447783899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457474900"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.42,
              "providers": [
                {
                  "billed_charge": 90.42,
                  "npi": [
                    1457474900
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609101278"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.58,
              "providers": [
                {
                  "billed_charge": 207.58,
                  "npi": [
                    1609101278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659427607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1659427607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669682399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1669682399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740616721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.42,
              "providers": [
                {
                  "billed_charge": 112.42,
                  "npi": [
                    1740616721
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Vaccine administration",
      "billing_code_type": "CPT",
      "billing_code": "90461",
      "billing_code_type_version": "2026",
      "description": "Vaccine administration",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.44,
              "providers": [
                {
                  "billed_charge": 25.44,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.16,
              "providers": [
                {
                  "billed_charge": 38.16,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.88,
              "providers": [
                {
                  "billed_charge": 50.88,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.44,
              "providers": [
                {
                  "billed_charge": 25.44,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.16,
              "providers": [
                {
                  "billed_charge": 38.16,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.88,
              "providers": [
                {
                  "billed_charge": 50.88,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 76.32,
              "providers": [
                {
                  "billed_charge": 76.32,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.9,
              "providers": [
                {
                  "billed_charge": 34.9,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437151776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437151776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.44,
              "providers": [
                {
                  "billed_charge": 25.44,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 76.32,
              "providers": [
                {
                  "billed_charge": 76.32,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699700526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1699700526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962457838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1962457838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.47,
              "providers": [
                {
                  "billed_charge": 13.47,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mental health treatment during partial hospitalization provider fee",
      "billing_code_type": "HCPCS",
      "billing_code": "H0035",
      "billing_code_type_version": "2026",
      "description": "Mental health treatment during partial hospitalization provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1568899417"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 690.0,
              "providers": [
                {
                  "billed_charge": 690.0,
                  "npi": [
                    1568899417
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.94,
              "providers": [
                {
                  "billed_charge": 4.94,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.65,
              "providers": [
                {
                  "billed_charge": 62.65,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104867167"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.58,
              "providers": [
                {
                  "billed_charge": 12.58,
                  "npi": [
                    1104867167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154365062"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154365062
                  ]
                },
                {
                  "billed_charge": 27.27,
                  "npi": [
                    1154365062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164655981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 17.82,
                  "npi": [
                    1164655981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184706152"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.02,
              "providers": [
                {
                  "billed_charge": 6.02,
                  "npi": [
                    1184706152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.85,
              "providers": [
                {
                  "billed_charge": 10.85,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.08,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255307732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.76,
              "providers": [
                {
                  "billed_charge": 15.76,
                  "npi": [
                    1255307732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417037045"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1417037045
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 27.27,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518097906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1518097906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558346007"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1558346007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598747651"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1598747651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629609292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.12,
                  "npi": [
                    1629609292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659391761"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1659391761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710067376"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1710067376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710916945"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1710916945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720306566"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1720306566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740549450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1740549450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912232794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1912232794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982728036"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1982728036
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99212",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "10",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.05,
              "providers": [
                {
                  "billed_charge": 72.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 83.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 104.54,
              "providers": [
                {
                  "billed_charge": 104.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.54,
              "providers": [
                {
                  "billed_charge": 104.54,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073603999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1073603999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104368026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1104368026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.6,
              "providers": [
                {
                  "billed_charge": 64.6,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 76.0,
              "providers": [
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154506483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.42,
              "providers": [
                {
                  "billed_charge": 90.42,
                  "npi": [
                    1154506483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194768168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.0,
              "providers": [
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1194768168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.0,
              "providers": [
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.89,
              "providers": [
                {
                  "billed_charge": 98.89,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336305820"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.89,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1336305820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346568060"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.43,
              "providers": [
                {
                  "billed_charge": 83.4,
                  "npi": [
                    1346568060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386688364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.47,
              "providers": [
                {
                  "billed_charge": 78.47,
                  "npi": [
                    1386688364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457548224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1457548224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528127628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1528127628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639139199"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.89,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1639139199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821175985"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1821175985
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861857732"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 92.0,
                  "npi": [
                    1861857732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881393833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.66,
              "providers": [
                {
                  "billed_charge": 60.66,
                  "npi": [
                    1881393833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.89,
              "providers": [
                {
                  "billed_charge": 90.42,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure troponin",
      "billing_code_type": "CPT",
      "billing_code": "84484",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure troponin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.06,
              "providers": [
                {
                  "billed_charge": 28.06,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 327.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.5,
              "providers": [
                {
                  "billed_charge": 10.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.86,
              "providers": [
                {
                  "billed_charge": 64.86,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.72,
              "providers": [
                {
                  "billed_charge": 129.72,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin b12",
      "billing_code_type": "CPT",
      "billing_code": "82607",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin b12",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.2,
              "providers": [
                {
                  "billed_charge": 5.2,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.8,
              "providers": [
                {
                  "billed_charge": 32.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.26,
              "providers": [
                {
                  "billed_charge": 21.26,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.93,
              "providers": [
                {
                  "billed_charge": 33.93,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437222312"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.62,
              "providers": [
                {
                  "billed_charge": 22.62,
                  "npi": [
                    1437222312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.2,
              "providers": [
                {
                  "billed_charge": 51.2,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.93,
              "providers": [
                {
                  "billed_charge": 33.93,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.26,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.26,
              "providers": [
                {
                  "billed_charge": 52.04,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.38,
              "providers": [
                {
                  "billed_charge": 19.38,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98943",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013052174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.59,
              "providers": [
                {
                  "billed_charge": 22.59,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.22,
              "providers": [
                {
                  "billed_charge": 27.22,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184331506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.9,
              "providers": [
                {
                  "billed_charge": 20.9,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1184331506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194718585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.38,
              "providers": [
                {
                  "billed_charge": 21.38,
                  "npi": [
                    1194718585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255684684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1255684684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427425537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1427425537
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.58,
              "providers": [
                {
                  "billed_charge": 49.0,
                  "npi": [
                    1427425537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528052693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1528052693
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548479967"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.96,
              "providers": [
                {
                  "billed_charge": 20.96,
                  "npi": [
                    1548479967
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.38,
              "providers": [
                {
                  "billed_charge": 21.38,
                  "npi": [
                    1548479967
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629258959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.74,
              "providers": [
                {
                  "billed_charge": 19.74,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.11,
              "providers": [
                {
                  "billed_charge": 22.11,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.59,
              "providers": [
                {
                  "billed_charge": 28.59,
                  "npi": [
                    1629258959
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073249777"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1073249777
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093548570"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1093548570
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1093548570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164899415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1164899415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205945474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1205945474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215181300"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1215181300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215536594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1215536594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245102276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1245102276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255867164"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1255867164
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1255867164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275068223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1275068223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346610789"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1346610789
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356989404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1356989404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376743567"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1376743567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396456646"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396456646
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1396456646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407283286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1407283286
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1407283286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427742196"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427742196
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447753686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1447753686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447884143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1447884143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477159374"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1477159374
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477448959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1477448959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497466932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1497466932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518320548"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1518320548
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528187713"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1528187713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538805247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538805247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588877914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1588877914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609769306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1609769306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619622370"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1619622370
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669830758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1669830758
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1669830758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750252029"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1750252029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750850723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1750850723
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1750850723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821943408"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1821943408
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902015621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1902015621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952804171"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1952804171
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mammogram",
      "billing_code_type": "CPT",
      "billing_code": "77067",
      "billing_code_type_version": "2026",
      "description": "Mammogram",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1346423480"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1346423480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 278.4,
              "providers": [
                {
                  "billed_charge": 278.4,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.38,
              "providers": [
                {
                  "billed_charge": 187.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.38,
              "providers": [
                {
                  "billed_charge": 187.38,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 51.45,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972749570"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.8,
              "providers": [
                {
                  "billed_charge": 202.8,
                  "npi": [
                    1972749570
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Tubing with integrated heating element",
      "billing_code_type": "HCPCS",
      "billing_code": "A4604",
      "billing_code_type_version": "2026",
      "description": "Tubing with integrated heating element",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013529528"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1013529528
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114302486"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1114302486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679682272"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.0,
              "providers": [
                {
                  "billed_charge": 49.0,
                  "npi": [
                    1679682272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750499570"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1750499570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831715739"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.9,
              "providers": [
                {
                  "billed_charge": 39.9,
                  "npi": [
                    1831715739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972554939"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1972554939
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.82,
              "providers": [
                {
                  "billed_charge": 44.82,
                  "npi": [
                    1972554939
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033351226"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.57,
              "providers": [
                {
                  "billed_charge": 19.87,
                  "npi": [
                    1033351226
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073090783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1073090783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114355260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124061882"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1124061882
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134787625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154640993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1154640993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164590576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.93,
              "providers": [
                {
                  "billed_charge": 45.93,
                  "npi": [
                    1164590576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 26.73,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 90.75,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205855988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.3,
              "providers": [
                {
                  "billed_charge": 8.3,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.7,
              "providers": [
                {
                  "billed_charge": 240.7,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326269598"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1326269598
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 201.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 327.75,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 35.8,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558803486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665566"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 98.33,
                  "npi": [
                    1588665566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629643069"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1629643069
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.34,
              "providers": [
                {
                  "billed_charge": 15.34,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669471728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.5,
              "providers": [
                {
                  "billed_charge": 42.5,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770697104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.77,
              "providers": [
                {
                  "billed_charge": 11.77,
                  "npi": [
                    1770697104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871295709"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 19.1,
                  "npi": [
                    1871295709
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 83.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952316747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1952316747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962214098"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1962214098
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962493650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.04,
              "providers": [
                {
                  "billed_charge": 9.73,
                  "npi": [
                    1962493650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.41,
              "providers": [
                {
                  "billed_charge": 5.41,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033665260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 154.29,
                  "npi": [
                    1033665260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205392099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1205392099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326593096"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1326593096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487366555"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1487366555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487474714"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1487474714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619683356"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1619683356
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619760006"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1619760006
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659690154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1659690154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770038333"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1770038333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.27,
              "providers": [
                {
                  "billed_charge": 135.27,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.4,
              "providers": [
                {
                  "billed_charge": 18.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417947490"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1417947490
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437156247"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 21.28,
                  "npi": [
                    1437156247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.35,
              "providers": [
                {
                  "billed_charge": 23.35,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.24,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.22,
              "providers": [
                {
                  "billed_charge": 12.22,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992738959"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 11.52,
                  "npi": [
                    1992738959
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Sports medicine doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Sports medicine doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063479079"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1063479079
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093042087"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.66,
              "providers": [
                {
                  "billed_charge": 157.66,
                  "npi": [
                    1093042087
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114371648"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1114371648
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114467867"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1114467867
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114491461"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.22,
              "providers": [
                {
                  "billed_charge": 99.22,
                  "npi": [
                    1114491461
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.27,
              "providers": [
                {
                  "billed_charge": 175.27,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164442463"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1164442463
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 163.77,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205644614"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1205644614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205886926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.43,
              "providers": [
                {
                  "billed_charge": 190.43,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225192610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1225192610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "22",
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.95,
              "providers": [
                {
                  "billed_charge": 110.95,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 116.45,
              "providers": [
                {
                  "billed_charge": 116.45,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.76,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.99,
              "providers": [
                {
                  "billed_charge": 116.99,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255308136"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1255308136
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295047348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1295047348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.29,
              "providers": [
                {
                  "billed_charge": 112.29,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346223351"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1346223351
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            },
            {
              "allowed_amount": 483.0,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477550416"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1477550416
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548037476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.99,
              "providers": [
                {
                  "billed_charge": 15.99,
                  "npi": [
                    1548037476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.26,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811492895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.7,
              "providers": [
                {
                  "billed_charge": 161.7,
                  "npi": [
                    1811492895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891271938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1891271938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891887790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1891887790
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1891887790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902867930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 279.0,
                  "npi": [
                    1902867930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972830404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1972830404
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for foot x-ray",
      "billing_code_type": "CPT",
      "billing_code": "73630",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for foot x-ray",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.49,
              "providers": [
                {
                  "billed_charge": 47.49,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.57,
              "providers": [
                {
                  "billed_charge": 58.57,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.78,
              "providers": [
                {
                  "billed_charge": 49.78,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.57,
              "providers": [
                {
                  "billed_charge": 58.57,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124463658"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.78,
              "providers": [
                {
                  "billed_charge": 88.2,
                  "npi": [
                    1124463658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.69,
              "providers": [
                {
                  "billed_charge": 41.69,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.6,
              "providers": [
                {
                  "billed_charge": 73.6,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306845425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.2,
              "providers": [
                {
                  "billed_charge": 88.2,
                  "npi": [
                    1306845425
                  ]
                }
              ]
            },
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1306845425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.78,
              "providers": [
                {
                  "billed_charge": 49.78,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.57,
              "providers": [
                {
                  "billed_charge": 58.57,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "23",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.76,
              "providers": [
                {
                  "billed_charge": 11.76,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "31"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.2,
              "providers": [
                {
                  "billed_charge": 88.2,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.82,
              "providers": [
                {
                  "billed_charge": 23.82,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811516040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.13,
              "providers": [
                {
                  "billed_charge": 88.2,
                  "npi": [
                    1811516040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.49,
              "providers": [
                {
                  "billed_charge": 47.49,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.76,
              "providers": [
                {
                  "billed_charge": 3.76,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154365062"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154365062
                  ]
                },
                {
                  "billed_charge": 31.68,
                  "npi": [
                    1154365062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 42.58,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184706152"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 51.14,
                  "npi": [
                    1184706152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.88,
              "providers": [
                {
                  "billed_charge": 20.88,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417037045"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1417037045
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467089292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.51,
              "providers": [
                {
                  "billed_charge": 12.51,
                  "npi": [
                    1467089292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558346007"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1558346007
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619052446"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 30.8,
                  "npi": [
                    1619052446
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710067376"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1710067376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740549450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1740549450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861439952"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1861439952
                  ]
                },
                {
                  "billed_charge": 54.0,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.0,
              "providers": [
                {
                  "billed_charge": 54.0,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.04,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912007931"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1912007931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912232794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.87,
              "providers": [
                {
                  "billed_charge": 88.8,
                  "npi": [
                    1912232794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Add on for mammogram: 3D tomosynthesis",
      "billing_code_type": "CPT",
      "billing_code": "77063",
      "billing_code_type_version": "2026",
      "description": "Add on for mammogram: 3D tomosynthesis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346423480"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.68,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1346423480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.68,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.04,
              "providers": [
                {
                  "billed_charge": 48.04,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.04,
              "providers": [
                {
                  "billed_charge": 48.04,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710205844"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.47,
              "providers": [
                {
                  "billed_charge": 33.47,
                  "npi": [
                    1710205844
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.83,
              "providers": [
                {
                  "billed_charge": 33.83,
                  "npi": [
                    1710205844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.68,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.86,
              "providers": [
                {
                  "billed_charge": 40.86,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.04,
              "providers": [
                {
                  "billed_charge": 48.04,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144286402"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 62.0,
                  "npi": [
                    1144286402
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1144286402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.51,
              "providers": [
                {
                  "billed_charge": 116.51,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447342514"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1447342514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 43.09,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 304.46,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.04,
              "providers": [
                {
                  "billed_charge": 29.04,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124078696"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124078696
                  ]
                },
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1124078696
                  ]
                }
              ]
            },
            {
              "allowed_amount": 101.25,
              "providers": [
                {
                  "billed_charge": 101.25,
                  "npi": [
                    1124078696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184621161"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1184621161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 141.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.31,
              "providers": [
                {
                  "billed_charge": 141.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 43.09,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699705681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.76,
              "providers": [
                {
                  "billed_charge": 23.76,
                  "npi": [
                    1699705681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710916945"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1710916945
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Add on for mammogram: 3D tomosynthesis",
      "billing_code_type": "CPT",
      "billing_code": "77063",
      "billing_code_type_version": "2026",
      "description": "Add on for mammogram: 3D tomosynthesis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013916030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013916030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.5,
              "providers": [
                {
                  "billed_charge": 76.5,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.17,
              "providers": [
                {
                  "billed_charge": 43.17,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            },
            {
              "allowed_amount": 76.5,
              "providers": [
                {
                  "billed_charge": 76.5,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346299153"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.17,
              "providers": [
                {
                  "billed_charge": 43.17,
                  "npi": [
                    1346299153
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1346299153
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.68,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.38,
              "providers": [
                {
                  "billed_charge": 53.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.85,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.3,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700950060"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1700950060
                  ]
                },
                {
                  "billed_charge": 123.0,
                  "npi": [
                    1700950060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770668568"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.55,
              "providers": [
                {
                  "billed_charge": 56.55,
                  "npi": [
                    1770668568
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1770668568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.86,
              "providers": [
                {
                  "billed_charge": 40.86,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245865625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.14,
              "providers": [
                {
                  "billed_charge": 38.14,
                  "npi": [
                    1245865625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336621903"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1336621903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437584745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437584745
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.71,
              "providers": [
                {
                  "billed_charge": 27.71,
                  "npi": [
                    1437584745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487241972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.28,
              "providers": [
                {
                  "billed_charge": 17.28,
                  "npi": [
                    1487241972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720346224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.14,
              "providers": [
                {
                  "billed_charge": 27.14,
                  "npi": [
                    1720346224
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.71,
              "providers": [
                {
                  "billed_charge": 27.71,
                  "npi": [
                    1720346224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992824973"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1992824973
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1992824973
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Urologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.3,
              "providers": [
                {
                  "billed_charge": 33.3,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.12,
              "providers": [
                {
                  "billed_charge": 142.12,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.2,
              "providers": [
                {
                  "billed_charge": 167.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275353278"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1275353278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 208.13,
              "providers": [
                {
                  "billed_charge": 208.13,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356675656"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.6,
              "providers": [
                {
                  "billed_charge": 102.6,
                  "npi": [
                    1356675656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.37,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457366197"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.86,
              "providers": [
                {
                  "billed_charge": 166.86,
                  "npi": [
                    1457366197
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649921834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.9,
              "providers": [
                {
                  "billed_charge": 135.9,
                  "npi": [
                    1649921834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669756532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1669756532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710405808"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 257.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1710405808
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.44,
              "providers": [
                {
                  "billed_charge": 143.44,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.75,
              "providers": [
                {
                  "billed_charge": 168.75,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962727750"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.4,
              "providers": [
                {
                  "billed_charge": 167.4,
                  "npi": [
                    1962727750
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.52,
              "providers": [
                {
                  "billed_charge": 94.52,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.55,
              "providers": [
                {
                  "billed_charge": 12.62,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.24,
              "providers": [
                {
                  "billed_charge": 8.24,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.57,
              "providers": [
                {
                  "billed_charge": 14.57,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.28,
              "providers": [
                {
                  "billed_charge": 24.28,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.16,
              "providers": [
                {
                  "billed_charge": 120.16,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.97,
              "providers": [
                {
                  "billed_charge": 10.97,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.74,
              "providers": [
                {
                  "billed_charge": 8.74,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.46,
              "providers": [
                {
                  "billed_charge": 15.46,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659504785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 61.0,
                  "npi": [
                    1659504785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669478681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.38,
              "providers": [
                {
                  "billed_charge": 20.79,
                  "npi": [
                    1669478681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689663130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1689663130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 99.75,
              "providers": [
                {
                  "billed_charge": 99.75,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801884655"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1801884655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for bundle of general lab tests",
      "billing_code_type": "CPT",
      "billing_code": "80050",
      "billing_code_type_version": "2026",
      "description": "Lab fee for bundle of general lab tests",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.0,
              "providers": [
                {
                  "billed_charge": 331.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Add on for mammogram: 3D tomosynthesis",
      "billing_code_type": "CPT",
      "billing_code": "77063",
      "billing_code_type_version": "2026",
      "description": "Add on for mammogram: 3D tomosynthesis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1346423480"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.68,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1346423480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.68,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.04,
              "providers": [
                {
                  "billed_charge": 48.04,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.04,
              "providers": [
                {
                  "billed_charge": 48.04,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.68,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972749570"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.6,
              "providers": [
                {
                  "billed_charge": 27.6,
                  "npi": [
                    1972749570
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Oncologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Oncologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 217.07,
              "providers": [
                {
                  "billed_charge": 217.07,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 297.94,
              "providers": [
                {
                  "billed_charge": 297.94,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 334.0,
              "providers": [
                {
                  "billed_charge": 334.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 314.96,
              "providers": [
                {
                  "billed_charge": 314.96,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043958473"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 429.0,
                  "npi": [
                    1043958473
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083027346"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 448.14,
              "providers": [
                {
                  "billed_charge": 448.14,
                  "npi": [
                    1083027346
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134144322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1134144322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 217.6,
              "providers": [
                {
                  "billed_charge": 217.6,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 336.8,
              "providers": [
                {
                  "billed_charge": 336.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174007934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.65,
              "providers": [
                {
                  "billed_charge": 335.0,
                  "npi": [
                    1174007934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194768168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1194768168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            },
            {
              "allowed_amount": 297.94,
              "providers": [
                {
                  "billed_charge": 297.94,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285632430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1285632430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.58,
              "providers": [
                {
                  "billed_charge": 172.58,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 217.07,
              "providers": [
                {
                  "billed_charge": 217.07,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306468418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 254.0,
              "providers": [
                {
                  "billed_charge": 254.0,
                  "npi": [
                    1306468418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306845425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 222.3,
              "providers": [
                {
                  "billed_charge": 222.3,
                  "npi": [
                    1306845425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 267.72,
              "providers": [
                {
                  "billed_charge": 267.72,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.58,
              "providers": [
                {
                  "billed_charge": 172.58,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477651495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1477651495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538179890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1538179890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649921834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 204.41,
              "providers": [
                {
                  "billed_charge": 204.41,
                  "npi": [
                    1649921834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700842796"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.0,
              "providers": [
                {
                  "billed_charge": 256.0,
                  "npi": [
                    1700842796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 255.38,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811178254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.65,
              "providers": [
                {
                  "billed_charge": 255.38,
                  "npi": [
                    1811178254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811516040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 222.3,
              "providers": [
                {
                  "billed_charge": 222.3,
                  "npi": [
                    1811516040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821813189"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1821813189
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 340.5,
              "providers": [
                {
                  "billed_charge": 340.5,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861721839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1861721839
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902119894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 257.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1902119894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922031400"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1922031400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.65,
              "providers": [
                {
                  "billed_charge": 340.5,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 289.43,
              "providers": [
                {
                  "billed_charge": 289.43,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.58,
              "providers": [
                {
                  "billed_charge": 172.58,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 176.0,
              "providers": [
                {
                  "billed_charge": 176.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215921259"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1215921259
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265163547"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1265163547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356339857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.39,
              "providers": [
                {
                  "billed_charge": 16.39,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.96,
              "providers": [
                {
                  "billed_charge": 21.96,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366495897"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.34,
              "providers": [
                {
                  "billed_charge": 18.34,
                  "npi": [
                    1366495897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.28,
              "providers": [
                {
                  "billed_charge": 70.58,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.45,
              "providers": [
                {
                  "billed_charge": 54.45,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.58,
              "providers": [
                {
                  "billed_charge": 70.58,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.04,
              "providers": [
                {
                  "billed_charge": 125.04,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.17,
              "providers": [
                {
                  "billed_charge": 141.17,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 233.93,
              "providers": [
                {
                  "billed_charge": 233.93,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 282.33,
              "providers": [
                {
                  "billed_charge": 282.33,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.38,
              "providers": [
                {
                  "billed_charge": 16.38,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.28,
              "providers": [
                {
                  "billed_charge": 18.28,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.93,
              "providers": [
                {
                  "billed_charge": 21.93,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.49,
              "providers": [
                {
                  "billed_charge": 23.49,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538238274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.28,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538238274
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538238274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558555805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1558555805
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1558555805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811089147"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.58,
              "providers": [
                {
                  "billed_charge": 18.58,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.19,
              "providers": [
                {
                  "billed_charge": 26.19,
                  "npi": [
                    1811089147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821085028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821085028
                  ]
                },
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1821085028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851934004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1851934004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.41,
              "providers": [
                {
                  "billed_charge": 14.41,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.59,
              "providers": [
                {
                  "billed_charge": 14.59,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.04,
              "providers": [
                {
                  "billed_charge": 16.04,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.19,
              "providers": [
                {
                  "billed_charge": 17.19,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.28,
              "providers": [
                {
                  "billed_charge": 18.28,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.51,
              "providers": [
                {
                  "billed_charge": 18.51,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.81,
              "providers": [
                {
                  "billed_charge": 21.81,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.35,
              "providers": [
                {
                  "billed_charge": 22.35,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.33,
              "providers": [
                {
                  "billed_charge": 23.33,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.34,
              "providers": [
                {
                  "billed_charge": 23.34,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.39,
              "providers": [
                {
                  "billed_charge": 24.39,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.48,
              "providers": [
                {
                  "billed_charge": 25.48,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.31,
              "providers": [
                {
                  "billed_charge": 27.31,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.89,
              "providers": [
                {
                  "billed_charge": 45.89,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.28,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932644200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.75,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1932644200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992927826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1992927826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992991574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1992991574
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073927117"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1073927117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.39,
              "providers": [
                {
                  "billed_charge": 16.39,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.0,
              "providers": [
                {
                  "billed_charge": 51.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285749713"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 46.0,
                  "npi": [
                    1285749713
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396979787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1396979787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417316159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1417316159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 314.0,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 24.08,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740715333"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.92,
              "providers": [
                {
                  "billed_charge": 2.92,
                  "npi": [
                    1740715333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811982770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811982770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851439830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1851439830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Well-woman visit or annual GYN exam",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Well-woman visit or annual GYN exam",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.61,
              "providers": [
                {
                  "billed_charge": 157.61,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205192176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.25,
              "providers": [
                {
                  "billed_charge": 131.25,
                  "npi": [
                    1205192176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.61,
              "providers": [
                {
                  "billed_charge": 157.61,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598755712"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.0,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1598755712
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033118369"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1033118369
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.24,
              "providers": [
                {
                  "billed_charge": 420.0,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306025929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.04,
              "providers": [
                {
                  "billed_charge": 26.04,
                  "npi": [
                    1306025929
                  ]
                }
              ]
            },
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1306025929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 69.68,
              "providers": [
                {
                  "billed_charge": 69.68,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.35,
              "providers": [
                {
                  "billed_charge": 139.35,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 209.03,
              "providers": [
                {
                  "billed_charge": 209.03,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447422118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.77,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1447422118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.75,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1447422118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1447422118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 247.69,
              "providers": [
                {
                  "billed_charge": 248.0,
                  "npi": [
                    1447422118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 248.0,
              "providers": [
                {
                  "billed_charge": 248.0,
                  "npi": [
                    1447422118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 233.7,
              "providers": [
                {
                  "billed_charge": 233.7,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 311.6,
              "providers": [
                {
                  "billed_charge": 311.6,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 44.31,
              "providers": [
                {
                  "billed_charge": 108.1,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831292143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1831292143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902149990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.82,
              "providers": [
                {
                  "billed_charge": 22.82,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.78,
              "providers": [
                {
                  "billed_charge": 23.78,
                  "npi": [
                    1902149990
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043020209"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1043020209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063598803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1063598803
                  ]
                }
              ]
            },
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1063598803
                  ]
                }
              ]
            },
            {
              "allowed_amount": 172.6,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1063598803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114466489"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1114466489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245028653"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1245028653
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1245028653
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1245028653
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265165393"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1265165393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265296123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.88,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1265296123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427111913"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1427111913
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497984926"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1497984926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528841434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.2,
              "providers": [
                {
                  "billed_charge": 124.2,
                  "npi": [
                    1528841434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528845450"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1528845450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649720913"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1649720913
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669094314"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1669094314
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831478510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1831478510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891363941"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1891363941
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Injection or infusion of dexamethasone sodium phosphate, health care provider administered",
      "billing_code_type": "HCPCS",
      "billing_code": "J1100",
      "billing_code_type_version": "2026",
      "description": "Injection or infusion of dexamethasone sodium phosphate, health care provider administered",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.63,
              "providers": [
                {
                  "billed_charge": 0.63,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.66,
              "providers": [
                {
                  "billed_charge": 0.66,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 1.32,
              "providers": [
                {
                  "billed_charge": 1.32,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 1.65,
              "providers": [
                {
                  "billed_charge": 1.65,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 2.04,
              "providers": [
                {
                  "billed_charge": 2.04,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 3.15,
              "providers": [
                {
                  "billed_charge": 3.15,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 3.3,
              "providers": [
                {
                  "billed_charge": 3.3,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.94,
              "providers": [
                {
                  "billed_charge": 1.94,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 2.04,
              "providers": [
                {
                  "billed_charge": 2.04,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.45,
              "providers": [
                {
                  "billed_charge": 0.45,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 2.24,
              "providers": [
                {
                  "billed_charge": 2.24,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.48,
              "providers": [
                {
                  "billed_charge": 4.48,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.04,
              "providers": [
                {
                  "billed_charge": 2.04,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538002142"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.07,
              "providers": [
                {
                  "billed_charge": 0.07,
                  "npi": [
                    1538002142
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639172661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.45,
              "providers": [
                {
                  "billed_charge": 0.45,
                  "npi": [
                    1639172661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922310200"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1184709057"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.75,
              "providers": [
                {
                  "billed_charge": 39.75,
                  "npi": [
                    1184709057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295080026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.15,
              "providers": [
                {
                  "billed_charge": 32.15,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.75,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.5,
              "providers": [
                {
                  "billed_charge": 37.5,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 50.01,
              "providers": [
                {
                  "billed_charge": 50.01,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.38,
              "providers": [
                {
                  "billed_charge": 84.38,
                  "npi": [
                    1295080026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366154155"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.43,
              "providers": [
                {
                  "billed_charge": 30.43,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.44,
              "providers": [
                {
                  "billed_charge": 30.44,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.74,
              "providers": [
                {
                  "billed_charge": 30.74,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.05,
              "providers": [
                {
                  "billed_charge": 40.05,
                  "npi": [
                    1366154155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588312607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.66,
              "providers": [
                {
                  "billed_charge": 66.25,
                  "npi": [
                    1588312607
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.25,
              "providers": [
                {
                  "billed_charge": 66.25,
                  "npi": [
                    1588312607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679371637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.45,
              "providers": [
                {
                  "billed_charge": 16.45,
                  "npi": [
                    1679371637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.45,
              "providers": [
                {
                  "billed_charge": 16.45,
                  "npi": [
                    1689077380
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023013133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1023013133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.8,
              "providers": [
                {
                  "billed_charge": 136.8,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043280779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1043280779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053012260"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1053012260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053901249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1053901249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063663433"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 303.81,
                  "npi": [
                    1063663433
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 240.19,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073680419"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1073680419
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104512276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 273.7,
                  "npi": [
                    1104512276
                  ]
                }
              ]
            },
            {
              "allowed_amount": 273.7,
              "providers": [
                {
                  "billed_charge": 273.7,
                  "npi": [
                    1104512276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.16,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            },
            {
              "allowed_amount": 148.72,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124197637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1124197637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124577705"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1124577705
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134346521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1134346521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134508260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1134508260
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1134508260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164655981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 196.91,
                  "npi": [
                    1164655981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184208126"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.6,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1184208126
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184321341"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1184321341
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194604215"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1194604215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.46,
              "providers": [
                {
                  "billed_charge": 143.46,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 163.77,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 164.62,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205887023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1205887023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205943651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.35,
              "providers": [
                {
                  "billed_charge": 304.0,
                  "npi": [
                    1205943651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.76,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.27,
              "providers": [
                {
                  "billed_charge": 91.27,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255307732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.41,
              "providers": [
                {
                  "billed_charge": 84.41,
                  "npi": [
                    1255307732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295070118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 176.8,
                  "npi": [
                    1295070118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295898302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1295898302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306083340"
          },
          "service_code": [
            "50",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1306083340
                  ]
                }
              ]
            },
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1306083340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306944871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1306944871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336105113"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336105113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.51,
              "providers": [
                {
                  "billed_charge": 133.09,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 106.52,
              "providers": [
                {
                  "billed_charge": 133.09,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336188861"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.67,
              "providers": [
                {
                  "billed_charge": 160.67,
                  "npi": [
                    1336188861
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356300172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1356300172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 282.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376859181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.39,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1376859181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.83,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437799830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.08,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1437799830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457474900"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.51,
              "providers": [
                {
                  "billed_charge": 133.09,
                  "npi": [
                    1457474900
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457652513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1457652513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.56,
              "providers": [
                {
                  "billed_charge": 213.0,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467552471"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1467552471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508990573"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 186.0,
              "providers": [
                {
                  "billed_charge": 186.0,
                  "npi": [
                    1508990573
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518788686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1518788686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548720238"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1548720238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558739862"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1558739862
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568412955"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1568412955
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588390942"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            },
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598925638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1598925638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629609292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 90.07,
                  "npi": [
                    1629609292
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1629609292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639280183"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.37,
              "providers": [
                {
                  "billed_charge": 176.37,
                  "npi": [
                    1639280183
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639572381"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1639572381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659391761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.8,
              "providers": [
                {
                  "billed_charge": 136.8,
                  "npi": [
                    1659391761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669530846"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1669530846
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669744231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1669744231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 207.73,
                  "npi": [
                    1689919599
                  ]
                },
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1689919599
                  ]
                },
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710153838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1710153838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720268626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1720268626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.36,
              "providers": [
                {
                  "billed_charge": 110.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 323.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770839888"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.75,
              "providers": [
                {
                  "billed_charge": 152.75,
                  "npi": [
                    1770839888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780091447"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1780091447
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780676585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780676585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790042430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.99,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1790042430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790814325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1790814325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811957442"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 249.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1811957442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821040791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 247.1,
              "providers": [
                {
                  "billed_charge": 247.1,
                  "npi": [
                    1821040791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861201535"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1861201535
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881990604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1881990604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891065785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.36,
              "providers": [
                {
                  "billed_charge": 27.36,
                  "npi": [
                    1891065785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912305905"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.37,
              "providers": [
                {
                  "billed_charge": 28.37,
                  "npi": [
                    1912305905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296298"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.94,
              "providers": [
                {
                  "billed_charge": 147.75,
                  "npi": [
                    1942296298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942299565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1942299565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952085003"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.5,
              "providers": [
                {
                  "billed_charge": 129.5,
                  "npi": [
                    1952085003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972532091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.74,
              "providers": [
                {
                  "billed_charge": 194.74,
                  "npi": [
                    1972532091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982903951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982903951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982952966"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1982952966
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.5,
              "providers": [
                {
                  "billed_charge": 102.5,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for bundle of general lab tests",
      "billing_code_type": "CPT",
      "billing_code": "80050",
      "billing_code_type_version": "2026",
      "description": "Lab fee for bundle of general lab tests",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033351226"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 60.4,
                  "npi": [
                    1033351226
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073090783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1073090783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 211.25,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.2,
              "providers": [
                {
                  "billed_charge": 48.2,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003864810"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.0,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1003864810
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063592475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1063592475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083646137"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.6,
              "providers": [
                {
                  "billed_charge": 480.0,
                  "npi": [
                    1083646137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104211820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 350.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1104211820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114602323"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.17,
              "providers": [
                {
                  "billed_charge": 134.17,
                  "npi": [
                    1114602323
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124215520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 276.0,
              "providers": [
                {
                  "billed_charge": 276.0,
                  "npi": [
                    1124215520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154587855"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 276.0,
              "providers": [
                {
                  "billed_charge": 276.0,
                  "npi": [
                    1154587855
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154839322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1154839322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194988154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1194988154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215988530"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.6,
              "providers": [
                {
                  "billed_charge": 123.6,
                  "npi": [
                    1215988530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225085285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.66,
              "providers": [
                {
                  "billed_charge": 368.8,
                  "npi": [
                    1225085285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235293937"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.15,
              "providers": [
                {
                  "billed_charge": 303.0,
                  "npi": [
                    1235293937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245043546"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1245043546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265465439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1265465439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346812088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 276.0,
              "providers": [
                {
                  "billed_charge": 276.0,
                  "npi": [
                    1346812088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356597637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 234.5,
              "providers": [
                {
                  "billed_charge": 234.5,
                  "npi": [
                    1356597637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376612150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 202.0,
                  "npi": [
                    1376612150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386745800"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 220.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1386745800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386967875"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.89,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1386967875
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386997765"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1386997765
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407075880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.72,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1407075880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497859649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1497859649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1542798417"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.92,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1542798417
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578886842"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1578886842
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588856710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1588856710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598141566"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 404.5,
              "providers": [
                {
                  "billed_charge": 404.5,
                  "npi": [
                    1598141566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619402534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1619402534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619612686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1619612686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629590401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1629590401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639172372"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 208.75,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1639172372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801971254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.89,
              "providers": [
                {
                  "billed_charge": 183.89,
                  "npi": [
                    1801971254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851424634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1851424634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871250571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1871250571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871698431"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 285.0,
              "providers": [
                {
                  "billed_charge": 285.0,
                  "npi": [
                    1871698431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891847950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.19,
              "providers": [
                {
                  "billed_charge": 101.19,
                  "npi": [
                    1891847950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932558376"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1932558376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962846543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 205.0,
              "providers": [
                {
                  "billed_charge": 205.0,
                  "npi": [
                    1962846543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962981183"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.46,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1962981183
                  ]
                },
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1962981183
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972138238"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1972138238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972587509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.21,
              "providers": [
                {
                  "billed_charge": 117.02,
                  "npi": [
                    1972587509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.26,
              "providers": [
                {
                  "billed_charge": 159.97,
                  "npi": [
                    1972587509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972922730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.11,
              "providers": [
                {
                  "billed_charge": 111.11,
                  "npi": [
                    1972922730
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Well-child visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99391",
      "billing_code_type_version": "2026",
      "description": "Well-child visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.78,
              "providers": [
                {
                  "billed_charge": 146.78,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.78,
              "providers": [
                {
                  "billed_charge": 146.78,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437151776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1437151776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679901649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.0,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            },
            {
              "allowed_amount": 88.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699700526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1699700526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013954510"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1013954510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063441491"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 81.5,
                  "npi": [
                    1063441491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.4,
              "providers": [
                {
                  "billed_charge": 34.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 39.83,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.67,
              "providers": [
                {
                  "billed_charge": 77.67,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.5,
              "providers": [
                {
                  "billed_charge": 14.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for lactate dehydrogenase (ld, ldh) test",
      "billing_code_type": "CPT",
      "billing_code": "83615",
      "billing_code_type_version": "2026",
      "description": "Lab fee for lactate dehydrogenase (ld, ldh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1.6,
              "providers": [
                {
                  "billed_charge": 1.6,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.8,
              "providers": [
                {
                  "billed_charge": 12.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.8,
              "providers": [
                {
                  "billed_charge": 12.8,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.59,
              "providers": [
                {
                  "billed_charge": 13.59,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518278365"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1518278365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619957933"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1619957933
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.8,
              "providers": [
                {
                  "billed_charge": 12.8,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.52,
              "providers": [
                {
                  "billed_charge": 31.02,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.04,
              "providers": [
                {
                  "billed_charge": 6.04,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code": "3074F",
      "billing_code_type_version": "2026",
      "description": "3074F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063573830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1063573830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285729335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1285729335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306509757"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1306509757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487973996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1487973996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679570352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1679570352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710982145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1710982145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861721839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1861721839
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1104016088"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1104016088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174827919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.88,
              "providers": [
                {
                  "billed_charge": 7.88,
                  "npi": [
                    1174827919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245298017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1245298017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366719536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1366719536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376898148"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1376898148
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467781641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 12.2,
                  "npi": [
                    1467781641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497859649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1497859649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1508835828
                  ]
                },
                {
                  "billed_charge": 12.3,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588362164"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1588362164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598491300"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1598491300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942254347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1942254347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972581940"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972581940
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043311715"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 81.0,
                  "npi": [
                    1043311715
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144238908"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1144238908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235196510"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 351.0,
                  "npi": [
                    1235196510
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1235196510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255501235"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1255501235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265539498"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1265539498
                  ]
                },
                {
                  "billed_charge": 17.84,
                  "npi": [
                    1265539498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336396407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.07,
              "providers": [
                {
                  "billed_charge": 6.07,
                  "npi": [
                    1336396407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396001780"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1396001780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427068345"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1427068345
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1427068345
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427098169"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1427098169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467738252"
          },
          "service_code": [
            "81",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.54,
              "providers": [
                {
                  "billed_charge": 7.54,
                  "npi": [
                    1467738252
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528078581"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 91.45,
                  "npi": [
                    1528078581
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568646735"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568646735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578620449"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578620449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.99,
              "providers": [
                {
                  "billed_charge": 6.99,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639711294"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1639711294
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1639711294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730540238"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1730540238
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740348929"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 217.0,
                  "npi": [
                    1740348929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811005150"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1811005150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912643040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.61,
              "providers": [
                {
                  "billed_charge": 6.61,
                  "npi": [
                    1912643040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942636519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.5,
              "providers": [
                {
                  "billed_charge": 52.5,
                  "npi": [
                    1942636519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972001469"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972001469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992812333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.49,
              "providers": [
                {
                  "billed_charge": 3.49,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053424648"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1053424648
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134955370"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1134955370
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467437277"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.92,
              "providers": [
                {
                  "billed_charge": 20.92,
                  "npi": [
                    1467437277
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528042884"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1528042884
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780653618"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780653618
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881632818"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1881632818
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982381299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1982381299
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for thyroid stimulating hormone (tsh) test",
      "billing_code_type": "CPT",
      "billing_code": "84443",
      "billing_code_type_version": "2026",
      "description": "Lab fee for thyroid stimulating hormone (tsh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114355260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114355260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124465588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 42.68,
                  "npi": [
                    1124465588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134787625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154640993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1154640993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164590576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.12,
              "providers": [
                {
                  "billed_charge": 66.12,
                  "npi": [
                    1164590576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164788790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 70.68,
                  "npi": [
                    1164788790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 38.48,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 211.95,
              "providers": [
                {
                  "billed_charge": 211.95,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 70.41,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295788735"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1295788735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528056066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 51.0,
                  "npi": [
                    1528056066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 707.25,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629643069"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 61.0,
                  "npi": [
                    1629643069
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.39,
              "providers": [
                {
                  "billed_charge": 9.39,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.67,
              "providers": [
                {
                  "billed_charge": 20.67,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962493650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.02,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1962493650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.8,
              "providers": [
                {
                  "billed_charge": 7.8,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063406684"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.41,
              "providers": [
                {
                  "billed_charge": 9.41,
                  "npi": [
                    1063406684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093096638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1093096638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174615330"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.45,
              "providers": [
                {
                  "billed_charge": 2.45,
                  "npi": [
                    1174615330
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235129214"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.22,
              "providers": [
                {
                  "billed_charge": 7.22,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.15,
              "providers": [
                {
                  "billed_charge": 13.15,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376729228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.95,
              "providers": [
                {
                  "billed_charge": 8.95,
                  "npi": [
                    1376729228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396986295"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.97,
              "providers": [
                {
                  "billed_charge": 6.97,
                  "npi": [
                    1396986295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437135902"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.22,
              "providers": [
                {
                  "billed_charge": 7.22,
                  "npi": [
                    1437135902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538978895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1538978895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609921402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1609921402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790376564"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.58,
                  "npi": [
                    1790376564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912319997"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1912319997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952870487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1952870487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 44.65,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure sex hormone binding globulin (shbg)",
      "billing_code_type": "CPT",
      "billing_code": "84270",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure sex hormone binding globulin (shbg)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.6,
              "providers": [
                {
                  "billed_charge": 41.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.73,
              "providers": [
                {
                  "billed_charge": 21.73,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.89,
              "providers": [
                {
                  "billed_charge": 48.89,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.73,
              "providers": [
                {
                  "billed_charge": 21.73,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3077F",
      "billing_code_type": "CPT",
      "billing_code": "3077F",
      "billing_code_type_version": "2026",
      "description": "3077F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1588665145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710982145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1710982145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861721839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1861721839
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1205942406"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.18,
              "providers": [
                {
                  "billed_charge": 2.18,
                  "npi": [
                    1205942406
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275608622"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1275608622
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.67,
              "providers": [
                {
                  "billed_charge": 77.67,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.15,
              "providers": [
                {
                  "billed_charge": 135.15,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1508835828
                  ]
                },
                {
                  "billed_charge": 61.01,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538391768"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.05,
              "providers": [
                {
                  "billed_charge": 10.05,
                  "npi": [
                    1538391768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.05,
              "providers": [
                {
                  "billed_charge": 12.05,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720048143"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1720048143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 22.1,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.83,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902918030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083389894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1083389894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265419907"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1265419907
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.76,
              "providers": [
                {
                  "billed_charge": 6.76,
                  "npi": [
                    1265419907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376529743"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1376529743
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467468124"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.46,
              "providers": [
                {
                  "billed_charge": 9.46,
                  "npi": [
                    1467468124
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790772317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1790772317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891255675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 5.4,
                  "npi": [
                    1891255675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013008192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.2,
              "providers": [
                {
                  "billed_charge": 111.2,
                  "npi": [
                    1013008192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285381491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1285381491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366781213"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.12,
              "providers": [
                {
                  "billed_charge": 111.12,
                  "npi": [
                    1366781213
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447320114"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.27,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1447320114
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477161545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.38,
              "providers": [
                {
                  "billed_charge": 207.38,
                  "npi": [
                    1477161545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497482111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 219.0,
                  "npi": [
                    1497482111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548242365"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.25,
              "providers": [
                {
                  "billed_charge": 41.25,
                  "npi": [
                    1548242365
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558084772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.52,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1558084772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 65.72,
              "providers": [
                {
                  "billed_charge": 65.72,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588390942"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.5,
              "providers": [
                {
                  "billed_charge": 174.5,
                  "npi": [
                    1588390942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619230802"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1619230802
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639217011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1639217011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730413592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.5,
              "providers": [
                {
                  "billed_charge": 109.5,
                  "npi": [
                    1730413592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760402135"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1760402135
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801937008"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.0,
              "providers": [
                {
                  "billed_charge": 73.0,
                  "npi": [
                    1801937008
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98941",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033223284"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1033223284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104857275"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1104857275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417415613"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1417415613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598113193"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.2,
              "providers": [
                {
                  "billed_charge": 33.2,
                  "npi": [
                    1598113193
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1598113193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649263864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1649263864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689236325"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1689236325
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure estradiol (hormone) level",
      "billing_code_type": "CPT",
      "billing_code": "82670",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure estradiol (hormone) level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.8,
              "providers": [
                {
                  "billed_charge": 60.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.94,
              "providers": [
                {
                  "billed_charge": 27.94,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.87,
              "providers": [
                {
                  "billed_charge": 62.87,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760660401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.4,
              "providers": [
                {
                  "billed_charge": 37.4,
                  "npi": [
                    1760660401
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.87,
              "providers": [
                {
                  "billed_charge": 62.87,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992894695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.4,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1992894695
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code": "3074F",
      "billing_code_type_version": "2026",
      "description": "3074F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235254608"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1235254608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245218312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1245218312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285729335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1285729335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.01,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1588665145
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Magnesium test",
      "billing_code_type": "CPT",
      "billing_code": "83735",
      "billing_code_type_version": "2026",
      "description": "Magnesium test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003476961"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1003476961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124073879"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124073879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 8.62,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326275249"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 8.62,
                  "npi": [
                    1326275249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.24,
              "providers": [
                {
                  "billed_charge": 4.24,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700994977"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1700994977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 6.7,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            },
            {
              "allowed_amount": 6.7,
              "providers": [
                {
                  "billed_charge": 6.7,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821011248"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.8,
              "providers": [
                {
                  "billed_charge": 137.8,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871545673"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1871545673
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for extra complexity in an evaluation and management visit",
      "billing_code_type": "HCPCS",
      "billing_code": "G2211",
      "billing_code_type_version": "2026",
      "description": "Provider fee for extra complexity in an evaluation and management visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 42.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.21,
              "providers": [
                {
                  "billed_charge": 21.21,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043874373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1043874373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.52,
              "providers": [
                {
                  "billed_charge": 21.52,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619474491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1619474491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.32,
              "providers": [
                {
                  "billed_charge": 25.32,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.54,
              "providers": [
                {
                  "billed_charge": 27.01,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1396715686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.87,
                  "npi": [
                    1396715686
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.87,
              "providers": [
                {
                  "billed_charge": 26.87,
                  "npi": [
                    1396715686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396767299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.67,
              "providers": [
                {
                  "billed_charge": 16.67,
                  "npi": [
                    1396767299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457397531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457397531
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1457397531
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1457397531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982849774"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1982849774
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for adaptive behavior treatment",
      "billing_code_type": "CPT",
      "billing_code": "97153",
      "billing_code_type_version": "2026",
      "description": "Provider fee for adaptive behavior treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1316783723"
          },
          "service_code": [
            "12",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.5,
              "providers": [
                {
                  "billed_charge": 148.5,
                  "npi": [
                    1316783723
                  ]
                }
              ]
            },
            {
              "allowed_amount": 256.5,
              "providers": [
                {
                  "billed_charge": 256.5,
                  "npi": [
                    1316783723
                  ]
                }
              ]
            },
            {
              "allowed_amount": 324.0,
              "providers": [
                {
                  "billed_charge": 324.0,
                  "npi": [
                    1316783723
                  ]
                }
              ]
            },
            {
              "allowed_amount": 337.5,
              "providers": [
                {
                  "billed_charge": 337.5,
                  "npi": [
                    1316783723
                  ]
                }
              ]
            },
            {
              "allowed_amount": 378.0,
              "providers": [
                {
                  "billed_charge": 378.0,
                  "npi": [
                    1316783723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417238338"
          },
          "service_code": [
            "11",
            "03"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1417238338
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1417238338
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for chest x-ray",
      "billing_code_type": "CPT",
      "billing_code": "71045",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for chest x-ray",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.72,
              "providers": [
                {
                  "billed_charge": 18.72,
                  "npi": [
                    1134152986
                  ]
                },
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174651079"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.27,
              "providers": [
                {
                  "billed_charge": 12.27,
                  "npi": [
                    1174651079
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083946800"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1083946800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104240860"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1104240860
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124345152"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1124345152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205049780"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1205049780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205983038"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1205983038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306327549"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.3,
              "providers": [
                {
                  "billed_charge": 110.3,
                  "npi": [
                    1306327549
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346936523"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1346936523
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518675180"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1518675180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538811336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1538811336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821211012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1821211012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831663160"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1831663160
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1831663160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881415529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1881415529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 274.04,
              "providers": [
                {
                  "billed_charge": 327.04,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Inpatient hospital observation care provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99232",
      "billing_code_type_version": "2026",
      "description": "Inpatient hospital observation care provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003340639"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1003340639
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003985102"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1003985102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194251553"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1194251553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306698410"
          },
          "service_code": [
            "61"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306698410
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.47,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1306698410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417795188"
          },
          "service_code": [
            "61",
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1417795188
                  ]
                },
                {
                  "billed_charge": 141.36,
                  "npi": [
                    1417795188
                  ]
                }
              ]
            },
            {
              "allowed_amount": 117.47,
              "providers": [
                {
                  "billed_charge": 117.47,
                  "npi": [
                    1417795188
                  ]
                },
                {
                  "billed_charge": 141.36,
                  "npi": [
                    1417795188
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457396079"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 81.0,
              "providers": [
                {
                  "billed_charge": 81.0,
                  "npi": [
                    1457396079
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467853051"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1467853051
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.07,
              "providers": [
                {
                  "billed_charge": 105.07,
                  "npi": [
                    1467853051
                  ]
                },
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1467853051
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1467853051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 117.47,
              "providers": [
                {
                  "billed_charge": 236.52,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679878268"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1679878268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730927690"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 117.47,
              "providers": [
                {
                  "billed_charge": 117.47,
                  "npi": [
                    1730927690
                  ]
                },
                {
                  "billed_charge": 141.36,
                  "npi": [
                    1730927690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740058916"
          },
          "service_code": [
            "61"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 117.47,
              "providers": [
                {
                  "billed_charge": 117.47,
                  "npi": [
                    1740058916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740233782"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 113.14,
              "providers": [
                {
                  "billed_charge": 113.14,
                  "npi": [
                    1740233782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760482939"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1760482939
                  ]
                }
              ]
            },
            {
              "allowed_amount": 116.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1760482939
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073660734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1073660734
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1073660734
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1073660734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114063799"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1114063799
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 228.93,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730751363"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1730751363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922127182"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1922127182
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor office visit",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Chiropractor office visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023067352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1023067352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194071050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1194071050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.52,
              "providers": [
                {
                  "billed_charge": 100.52,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.26,
              "providers": [
                {
                  "billed_charge": 108.26,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285173195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285715144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1285715144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437167160"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1437167160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528164837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.53,
              "providers": [
                {
                  "billed_charge": 60.53,
                  "npi": [
                    1528164837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548142987"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.21,
              "providers": [
                {
                  "billed_charge": 134.21,
                  "npi": [
                    1548142987
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588794200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.0,
              "providers": [
                {
                  "billed_charge": 46.0,
                  "npi": [
                    1588794200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639123193"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1639123193
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639360720"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.69,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1639360720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.0,
              "providers": [
                {
                  "billed_charge": 159.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.95,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956814"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.15,
              "providers": [
                {
                  "billed_charge": 127.15,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972532091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 272.91,
                  "npi": [
                    1972532091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1104017821"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.13,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1104017821
                  ]
                },
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1104017821
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.64,
              "providers": [
                {
                  "billed_charge": 77.5,
                  "npi": [
                    1104017821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184771255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1184771255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235677071"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.09,
              "providers": [
                {
                  "billed_charge": 87.5,
                  "npi": [
                    1235677071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508538158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1508538158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538588116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.7,
              "providers": [
                {
                  "billed_charge": 78.7,
                  "npi": [
                    1538588116
                  ]
                }
              ]
            },
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1538588116
                  ]
                }
              ]
            },
            {
              "allowed_amount": 89.27,
              "providers": [
                {
                  "billed_charge": 89.27,
                  "npi": [
                    1538588116
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1538588116
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1538588116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700363686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.26,
              "providers": [
                {
                  "billed_charge": 32.26,
                  "npi": [
                    1700363686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962669275"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.26,
              "providers": [
                {
                  "billed_charge": 32.26,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.6,
              "providers": [
                {
                  "billed_charge": 40.26,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 40.97,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 42.29,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 57.19,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 59.91,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 67.03,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013462787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 177.92,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1013462787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043316391"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.59,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1043316391
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053330803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1053330803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073090783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1073090783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093595761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.84,
              "providers": [
                {
                  "billed_charge": 176.28,
                  "npi": [
                    1093595761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154340925"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.0,
              "providers": [
                {
                  "billed_charge": 187.0,
                  "npi": [
                    1154340925
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154640993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1154640993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 368.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346264702"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.39,
              "providers": [
                {
                  "billed_charge": 209.76,
                  "npi": [
                    1346264702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467673301"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1467673301
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487532719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.64,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1487532719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568774297"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.89,
              "providers": [
                {
                  "billed_charge": 175.8,
                  "npi": [
                    1568774297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629410154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 383.0,
              "providers": [
                {
                  "billed_charge": 456.0,
                  "npi": [
                    1629410154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669471728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.56,
              "providers": [
                {
                  "billed_charge": 145.56,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            },
            {
              "allowed_amount": 158.67,
              "providers": [
                {
                  "billed_charge": 158.67,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750482048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 288.0,
                  "npi": [
                    1750482048
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.92,
              "providers": [
                {
                  "billed_charge": 288.0,
                  "npi": [
                    1750482048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750503157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.8,
              "providers": [
                {
                  "billed_charge": 175.8,
                  "npi": [
                    1750503157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780752550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.28,
              "providers": [
                {
                  "billed_charge": 222.6,
                  "npi": [
                    1780752550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902893928"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.75,
              "providers": [
                {
                  "billed_charge": 131.75,
                  "npi": [
                    1902893928
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.59,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932321338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1932321338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952703373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.37,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1952703373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972572923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.5,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1972572923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982712915"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 279.0,
              "providers": [
                {
                  "billed_charge": 279.0,
                  "npi": [
                    1982712915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Well-child visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99392",
      "billing_code_type_version": "2026",
      "description": "Well-child visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003110453"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1003110453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033773858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1033773858
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.86,
              "providers": [
                {
                  "billed_charge": 30.86,
                  "npi": [
                    1033773858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134817950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.1,
              "providers": [
                {
                  "billed_charge": 160.1,
                  "npi": [
                    1134817950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174982540"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 184.0,
                  "npi": [
                    1174982540
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184631368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.0,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1184631368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255617833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.8,
              "providers": [
                {
                  "billed_charge": 78.8,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 93.59,
              "providers": [
                {
                  "billed_charge": 93.59,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 132.46,
              "providers": [
                {
                  "billed_charge": 132.46,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.26,
              "providers": [
                {
                  "billed_charge": 206.26,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275273195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.0,
              "providers": [
                {
                  "billed_charge": 141.0,
                  "npi": [
                    1275273195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285684225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346317054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1346317054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346319308"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1346319308
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366545329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1366545329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376594044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.18,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1376594044
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578562658"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.75,
              "providers": [
                {
                  "billed_charge": 117.75,
                  "npi": [
                    1578562658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659565562"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1659565562
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710003520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1710003520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770543225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1770543225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801954458"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 218.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1801954458
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891848297"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 216.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1891848297
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952449878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.74,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1952449878
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003891052"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1003891052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.21,
              "providers": [
                {
                  "billed_charge": 95.21,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033485925"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.24,
              "providers": [
                {
                  "billed_charge": 253.58,
                  "npi": [
                    1033485925
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043280779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 350.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1043280779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053533513"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1053533513
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104392679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1104392679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114490919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.71,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1114490919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114664836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.97,
              "providers": [
                {
                  "billed_charge": 256.8,
                  "npi": [
                    1114664836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174206791"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1174206791
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194341768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.11,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1194341768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205205259"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1205205259
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235422403"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235422403
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245279744"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 163.65,
                  "npi": [
                    1245279744
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255184800"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.7,
              "providers": [
                {
                  "billed_charge": 112.7,
                  "npi": [
                    1255184800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265482871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1265482871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.25,
              "providers": [
                {
                  "billed_charge": 72.25,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.67,
              "providers": [
                {
                  "billed_charge": 112.67,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447042783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1447042783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467442335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1467442335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598714560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 198.0,
                  "npi": [
                    1598714560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679723894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1679723894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.71,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 142.59,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 223.02,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780052811"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.89,
              "providers": [
                {
                  "billed_charge": 62.89,
                  "npi": [
                    1780052811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780838847"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1780838847
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811207160"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.85,
              "providers": [
                {
                  "billed_charge": 122.85,
                  "npi": [
                    1811207160
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 337.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881948073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.5,
              "providers": [
                {
                  "billed_charge": 121.5,
                  "npi": [
                    1881948073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1932184090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972631679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.86,
              "providers": [
                {
                  "billed_charge": 189.31,
                  "npi": [
                    1972631679
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure microalbumin in urine",
      "billing_code_type": "CPT",
      "billing_code": "82043",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure microalbumin in urine",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.67,
              "providers": [
                {
                  "billed_charge": 8.67,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.8,
              "providers": [
                {
                  "billed_charge": 12.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.01,
              "providers": [
                {
                  "billed_charge": 13.01,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.01,
              "providers": [
                {
                  "billed_charge": 13.01,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.15,
              "providers": [
                {
                  "billed_charge": 39.35,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.78,
              "providers": [
                {
                  "billed_charge": 5.78,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962458521"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.5,
              "providers": [
                {
                  "billed_charge": 23.5,
                  "npi": [
                    1962458521
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.8,
              "providers": [
                {
                  "billed_charge": 20.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205025186"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1205025186
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1205025186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235115437"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1235115437
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275533226"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1275533226
                  ]
                }
              ]
            },
            {
              "allowed_amount": 202.4,
              "providers": [
                {
                  "billed_charge": 202.4,
                  "npi": [
                    1275533226
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437156247"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 152.01,
                  "npi": [
                    1437156247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 56.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.09,
              "providers": [
                {
                  "billed_charge": 43.09,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.89,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.01,
              "providers": [
                {
                  "billed_charge": 82.72,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.72,
              "providers": [
                {
                  "billed_charge": 82.72,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.24,
              "providers": [
                {
                  "billed_charge": 42.24,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992738959"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.68,
              "providers": [
                {
                  "billed_charge": 121.68,
                  "npi": [
                    1992738959
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023004231"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1023004231
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033315239"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1033315239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043487218"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.03,
              "providers": [
                {
                  "billed_charge": 41.03,
                  "npi": [
                    1043487218
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053350025"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.24,
              "providers": [
                {
                  "billed_charge": 354.42,
                  "npi": [
                    1053350025
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083870604"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.0,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1083870604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144402538"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.95,
              "providers": [
                {
                  "billed_charge": 32.95,
                  "npi": [
                    1144402538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225354038"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.72,
              "providers": [
                {
                  "billed_charge": 97.72,
                  "npi": [
                    1225354038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336444637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1336444637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356385918"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1356385918
                  ]
                }
              ]
            },
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1356385918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366495632"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1366495632
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376505834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1376505834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376583609"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1376583609
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467437277"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.88,
              "providers": [
                {
                  "billed_charge": 236.6,
                  "npi": [
                    1467437277
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497806459"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.96,
              "providers": [
                {
                  "billed_charge": 192.84,
                  "npi": [
                    1497806459
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639405475"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.5,
              "providers": [
                {
                  "billed_charge": 95.5,
                  "npi": [
                    1639405475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649137621"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.04,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1649137621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679771281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1679771281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699086868"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 158.0,
              "providers": [
                {
                  "billed_charge": 158.0,
                  "npi": [
                    1699086868
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750456539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.4,
              "providers": [
                {
                  "billed_charge": 84.4,
                  "npi": [
                    1750456539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 152.4,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1750456539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780653618"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.5,
              "providers": [
                {
                  "billed_charge": 95.5,
                  "npi": [
                    1780653618
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851858179"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1851858179
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861400103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.56,
              "providers": [
                {
                  "billed_charge": 94.56,
                  "npi": [
                    1861400103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891893343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 335.0,
                  "npi": [
                    1891893343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982381299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 381.0,
                  "npi": [
                    1982381299
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "S0013",
      "billing_code_type": "HCPCS",
      "billing_code": "S0013",
      "billing_code_type_version": "2026",
      "description": "S0013",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003601220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1079.0,
              "providers": [
                {
                  "billed_charge": 1079.0,
                  "npi": [
                    1003601220
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1306497276"
          },
          "service_code": [
            "10",
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1306497276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396613089"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1396613089
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1396613089
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1396613089
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1396613089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427571322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1427571322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447880562"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1447880562
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043293608"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1043293608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 45.5,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053403402"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 123.0,
                  "npi": [
                    1053403402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417227398"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 139.35,
                  "npi": [
                    1417227398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457146250"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457676736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 25.94,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.1,
              "providers": [
                {
                  "billed_charge": 48.1,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477554475"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1477554475
                  ]
                },
                {
                  "billed_charge": 111.43,
                  "npi": [
                    1477554475
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538183181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 65.26,
                  "npi": [
                    1538183181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811264393"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.1,
              "providers": [
                {
                  "billed_charge": 48.1,
                  "npi": [
                    1811264393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003221243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.02,
              "providers": [
                {
                  "billed_charge": 399.0,
                  "npi": [
                    1003221243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013313857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.48,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1013313857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073188066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 313.0,
              "providers": [
                {
                  "billed_charge": 313.0,
                  "npi": [
                    1073188066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073981999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1073981999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104876390"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 229.81,
              "providers": [
                {
                  "billed_charge": 229.81,
                  "npi": [
                    1104876390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124062831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1124062831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144255068"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1144255068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164498051"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1164498051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215176268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1215176268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235129214"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.02,
              "providers": [
                {
                  "billed_charge": 199.5,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.21,
              "providers": [
                {
                  "billed_charge": 199.5,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285108084"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1285108084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295133056"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1295133056
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316574346"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1316574346
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376222075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.35,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1376222075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376729228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.17,
              "providers": [
                {
                  "billed_charge": 134.17,
                  "npi": [
                    1376729228
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.02,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376729228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427613165"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.02,
              "providers": [
                {
                  "billed_charge": 178.0,
                  "npi": [
                    1427613165
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437167137"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1437167137
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437194156"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.81,
              "providers": [
                {
                  "billed_charge": 321.9,
                  "npi": [
                    1437194156
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538978895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.21,
              "providers": [
                {
                  "billed_charge": 199.5,
                  "npi": [
                    1538978895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558327072"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 211.99,
              "providers": [
                {
                  "billed_charge": 211.99,
                  "npi": [
                    1558327072
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578803755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.83,
              "providers": [
                {
                  "billed_charge": 215.0,
                  "npi": [
                    1578803755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669410569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.16,
              "providers": [
                {
                  "billed_charge": 140.78,
                  "npi": [
                    1669410569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1710726963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760815773"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1760815773
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780779363"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.75,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1780779363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790804268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.21,
              "providers": [
                {
                  "billed_charge": 123.21,
                  "npi": [
                    1790804268
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.85,
              "providers": [
                {
                  "billed_charge": 245.0,
                  "npi": [
                    1790804268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821270323"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1821270323
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.19,
              "providers": [
                {
                  "billed_charge": 72.19,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841652922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.84,
              "providers": [
                {
                  "billed_charge": 113.84,
                  "npi": [
                    1841652922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891745212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.13,
              "providers": [
                {
                  "billed_charge": 129.13,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912319997"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.02,
              "providers": [
                {
                  "billed_charge": 399.0,
                  "npi": [
                    1912319997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952990533"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 298.0,
                  "npi": [
                    1952990533
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.69,
              "providers": [
                {
                  "billed_charge": 221.0,
                  "npi": [
                    1952990533
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972888477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1972888477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.33,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "billing_code_type": "CPT",
      "billing_code": "82306",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 107.8,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.2,
              "providers": [
                {
                  "billed_charge": 79.2,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164492195"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 100.29,
                  "npi": [
                    1164492195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.48,
              "providers": [
                {
                  "billed_charge": 38.48,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225110497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.92,
              "providers": [
                {
                  "billed_charge": 118.4,
                  "npi": [
                    1225110497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 335.05,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 81.4,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 81.4,
              "providers": [
                {
                  "billed_charge": 81.4,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for testosterone test",
      "billing_code_type": "CPT",
      "billing_code": "84402",
      "billing_code_type_version": "2026",
      "description": "Lab fee for testosterone test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.91,
              "providers": [
                {
                  "billed_charge": 35.91,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.0,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.0,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760660401"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.09,
              "providers": [
                {
                  "billed_charge": 34.09,
                  "npi": [
                    1760660401
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nurse visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Nurse visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013101757"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 224.0,
                  "npi": [
                    1013101757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023047974"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1023047974
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 314.64,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.5,
              "providers": [
                {
                  "billed_charge": 154.5,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 181.76,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417227398"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1417227398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477532679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1477532679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487761243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 229.98,
                  "npi": [
                    1487761243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639289937"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1639289937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.06,
              "providers": [
                {
                  "billed_charge": 240.19,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780299560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.0,
              "providers": [
                {
                  "billed_charge": 152.23,
                  "npi": [
                    1780299560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942256888"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.0,
              "providers": [
                {
                  "billed_charge": 141.0,
                  "npi": [
                    1942256888
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.19,
              "providers": [
                {
                  "billed_charge": 148.0,
                  "npi": [
                    1942256888
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073690509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1073690509
                  ]
                },
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.07,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 94.14,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386281269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.18,
              "providers": [
                {
                  "billed_charge": 21.18,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.22,
              "providers": [
                {
                  "billed_charge": 22.22,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.82,
              "providers": [
                {
                  "billed_charge": 32.82,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.45,
              "providers": [
                {
                  "billed_charge": 45.45,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.69,
              "providers": [
                {
                  "billed_charge": 62.69,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578087086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1578087086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 123.49,
                  "npi": [
                    1851346720
                  ]
                },
                {
                  "billed_charge": 370.47,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.5,
              "providers": [
                {
                  "billed_charge": 45.5,
                  "npi": [
                    1013915255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053049064"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.5,
              "providers": [
                {
                  "billed_charge": 18.5,
                  "npi": [
                    1053049064
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114355260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124061882"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1124061882
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134787625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144337023"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1144337023
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154640993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1154640993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164590576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.57,
              "providers": [
                {
                  "billed_charge": 41.57,
                  "npi": [
                    1164590576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174579155"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1174579155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 24.18,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205855988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.85,
              "providers": [
                {
                  "billed_charge": 7.85,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 471.55,
              "providers": [
                {
                  "billed_charge": 471.55,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 216.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 264.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 489.25,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447299649
                  ]
                },
                {
                  "billed_charge": 1429.0,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457329435"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1457329435
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497871628"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1497871628
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1497871628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 1397.25,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 121.45,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558803486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665566"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.72,
              "providers": [
                {
                  "billed_charge": 146.78,
                  "npi": [
                    1588665566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649273434"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 392.86,
                  "npi": [
                    1649273434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.7,
              "providers": [
                {
                  "billed_charge": 11.7,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679502959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.42,
              "providers": [
                {
                  "billed_charge": 7.42,
                  "npi": [
                    1679502959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689641680"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689641680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689650616"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720212228"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 92.4,
                  "npi": [
                    1720212228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750312997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1750312997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770697104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.71,
              "providers": [
                {
                  "billed_charge": 14.71,
                  "npi": [
                    1770697104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861401739"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1861401739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861496564"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1861496564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871295709"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 17.28,
                  "npi": [
                    1871295709
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871556621"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.53,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1871556621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912951963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.52,
              "providers": [
                {
                  "billed_charge": 166.54,
                  "npi": [
                    1912951963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.88,
              "providers": [
                {
                  "billed_charge": 12.88,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952316747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1952316747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                },
                {
                  "billed_charge": 489.25,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 327.79,
              "providers": [
                {
                  "billed_charge": 327.79,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 327.8,
              "providers": [
                {
                  "billed_charge": 327.8,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 327.82,
              "providers": [
                {
                  "billed_charge": 327.82,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 327.83,
              "providers": [
                {
                  "billed_charge": 327.83,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 328.29,
              "providers": [
                {
                  "billed_charge": 328.29,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 328.3,
              "providers": [
                {
                  "billed_charge": 328.3,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 337.8,
              "providers": [
                {
                  "billed_charge": 337.8,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.9,
              "providers": [
                {
                  "billed_charge": 4.9,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.48,
              "providers": [
                {
                  "billed_charge": 282.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073690509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.74,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578087086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1578087086
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1578087086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for thyroid stimulating hormone (tsh) test",
      "billing_code_type": "CPT",
      "billing_code": "84443",
      "billing_code_type_version": "2026",
      "description": "Lab fee for thyroid stimulating hormone (tsh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1205942406"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.59,
              "providers": [
                {
                  "billed_charge": 2.59,
                  "npi": [
                    1205942406
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275608622"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1275608622
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.49,
              "providers": [
                {
                  "billed_charge": 26.49,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            },
            {
              "allowed_amount": 86.7,
              "providers": [
                {
                  "billed_charge": 86.7,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.0,
              "providers": [
                {
                  "billed_charge": 41.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 76.55,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679820534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 79.71,
                  "npi": [
                    1679820534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 27.72,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902918030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003863580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1003863580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033956057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1033956057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134184864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1134184864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144096553"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1144096553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215277314"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 36.49,
                  "npi": [
                    1215277314
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346343761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1346343761
                  ]
                }
              ]
            },
            {
              "allowed_amount": 3.0,
              "providers": [
                {
                  "billed_charge": 3.0,
                  "npi": [
                    1346343761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386670834"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1386670834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1437186111
                  ]
                },
                {
                  "billed_charge": 44.65,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.93,
              "providers": [
                {
                  "billed_charge": 7.93,
                  "npi": [
                    1437186111
                  ]
                },
                {
                  "billed_charge": 44.65,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 44.65,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 19.64,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669471728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679664395"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.74,
              "providers": [
                {
                  "billed_charge": 31.74,
                  "npi": [
                    1679664395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.9,
              "providers": [
                {
                  "billed_charge": 6.9,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790340511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.06,
              "providers": [
                {
                  "billed_charge": 12.06,
                  "npi": [
                    1790340511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801951454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1801951454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992799050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1992799050
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013059708"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1013059708
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063799120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.85,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1063799120
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.69,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1063799120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114003779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1114003779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124044292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.6,
              "providers": [
                {
                  "billed_charge": 123.6,
                  "npi": [
                    1124044292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144096553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 331.5,
                  "npi": [
                    1144096553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154117190"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.2,
              "providers": [
                {
                  "billed_charge": 92.2,
                  "npi": [
                    1154117190
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184913733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 173.0,
                  "npi": [
                    1184913733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194571026"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1194571026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194779702"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 144.0,
                  "npi": [
                    1194779702
                  ]
                },
                {
                  "billed_charge": 171.0,
                  "npi": [
                    1194779702
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205026168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.38,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1205026168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215277314"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.72,
              "providers": [
                {
                  "billed_charge": 418.57,
                  "npi": [
                    1215277314
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215320338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.28,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1215320338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 287.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            },
            {
              "allowed_amount": 103.15,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245746783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 253.0,
                  "npi": [
                    1245746783
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1245746783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 209.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285116210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 173.0,
                  "npi": [
                    1285116210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366158099"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1366158099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376223859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.29,
              "providers": [
                {
                  "billed_charge": 58.29,
                  "npi": [
                    1376223859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386661932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.31,
              "providers": [
                {
                  "billed_charge": 105.31,
                  "npi": [
                    1386661932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407047269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1407047269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417597170"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1417597170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447315742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1447315742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457612491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1457612491
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487758017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.75,
              "providers": [
                {
                  "billed_charge": 123.75,
                  "npi": [
                    1487758017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497589089"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.75,
              "providers": [
                {
                  "billed_charge": 83.75,
                  "npi": [
                    1497589089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538354071"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.64,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1538354071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578079000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1578079000
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639322779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1639322779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679655492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1679655492
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1679655492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689178170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.59,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1689178170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699114827"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.92,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1699114827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730244872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.28,
              "providers": [
                {
                  "billed_charge": 135.75,
                  "npi": [
                    1730244872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740068675"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1740068675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740218072"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740218072
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760839500"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1760839500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790340511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.61,
              "providers": [
                {
                  "billed_charge": 122.61,
                  "npi": [
                    1790340511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "02",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.45,
              "providers": [
                {
                  "billed_charge": 57.45,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.19,
              "providers": [
                {
                  "billed_charge": 95.19,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801951454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1801951454
                  ]
                }
              ]
            },
            {
              "allowed_amount": 101.5,
              "providers": [
                {
                  "billed_charge": 101.5,
                  "npi": [
                    1801951454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811527732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1811527732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821346073"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1821346073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831117746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.58,
              "providers": [
                {
                  "billed_charge": 180.9,
                  "npi": [
                    1831117746
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851032692"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.19,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1851032692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861811572"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1861811572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871335240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.8,
              "providers": [
                {
                  "billed_charge": 100.8,
                  "npi": [
                    1871335240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871665448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 158.38,
                  "npi": [
                    1871665448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871816918"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.6,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1871816918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972766459"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 68.0,
              "providers": [
                {
                  "billed_charge": 68.0,
                  "npi": [
                    1972766459
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982858767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.0,
              "providers": [
                {
                  "billed_charge": 82.0,
                  "npi": [
                    1982858767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "2365431350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.82,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    2365431350
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Gastroenterologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Gastroenterologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013092154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1013092154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013535657"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1013535657
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1013535657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063460459"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1063460459
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093468951"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1093468951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144483744"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.01,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1144483744
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205933975"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.18,
              "providers": [
                {
                  "billed_charge": 38.18,
                  "npi": [
                    1205933975
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245250646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.12,
              "providers": [
                {
                  "billed_charge": 123.75,
                  "npi": [
                    1245250646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346351582"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1346351582
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396453445"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.71,
              "providers": [
                {
                  "billed_charge": 96.71,
                  "npi": [
                    1396453445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528192176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1528192176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548273592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1548273592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588163638"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.0,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1588163638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629222815"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1629222815
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699710442"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1699710442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720284946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.17,
              "providers": [
                {
                  "billed_charge": 94.17,
                  "npi": [
                    1720284946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760498588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1760498588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 253.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.9,
              "providers": [
                {
                  "billed_charge": 75.9,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952460149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1952460149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972083012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.09,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972083012
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003807033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1003807033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043697972"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 483.0,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1043697972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053353896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.75,
              "providers": [
                {
                  "billed_charge": 37.75,
                  "npi": [
                    1053353896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164442463"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1164442463
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194034553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1194034553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275871907"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1275871907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356664486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1356664486
                  ]
                }
              ]
            },
            {
              "allowed_amount": 214.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1356664486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            },
            {
              "allowed_amount": 179.42,
              "providers": [
                {
                  "billed_charge": 483.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528201845"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1528201845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558333468"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1558333468
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609337393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 236.64,
                  "npi": [
                    1609337393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 227.2,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.88,
              "providers": [
                {
                  "billed_charge": 153.88,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.36,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841688132"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1841688132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851667489"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.0,
              "providers": [
                {
                  "billed_charge": 129.5,
                  "npi": [
                    1851667489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932493871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1932493871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992237341"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.8,
              "providers": [
                {
                  "billed_charge": 118.8,
                  "npi": [
                    1992237341
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053393181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1053393181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063540763"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.7,
              "providers": [
                {
                  "billed_charge": 102.7,
                  "npi": [
                    1063540763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073192340"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1073192340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 535.66,
              "providers": [
                {
                  "billed_charge": 535.66,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124277058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.79,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1124277058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437322013"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.89,
              "providers": [
                {
                  "billed_charge": 117.89,
                  "npi": [
                    1437322013
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538117551"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.48,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1538117551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629414958"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1629414958
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639172661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1639172661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689835415"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1689835415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740027234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.61,
              "providers": [
                {
                  "billed_charge": 127.2,
                  "npi": [
                    1740027234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770913360"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.98,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1770913360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790772804"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.86,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1790772804
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871663542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.03,
              "providers": [
                {
                  "billed_charge": 78.03,
                  "npi": [
                    1871663542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296298"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.86,
              "providers": [
                {
                  "billed_charge": 131.0,
                  "npi": [
                    1942296298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972746485"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.2,
              "providers": [
                {
                  "billed_charge": 127.2,
                  "npi": [
                    1972746485
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for vaginal fluid DNA test to detect bacterial vaginosis, trich, and yeast infections",
      "billing_code_type": "CPT",
      "billing_code": "81515",
      "billing_code_type_version": "2026",
      "description": "Lab fee for vaginal fluid DNA test to detect bacterial vaginosis, trich, and yeast infections",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 459.0,
              "providers": [
                {
                  "billed_charge": 459.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194520106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1194520106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.91,
              "providers": [
                {
                  "billed_charge": 12.91,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245313378"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.61,
              "providers": [
                {
                  "billed_charge": 22.61,
                  "npi": [
                    1245313378
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1275581852
                  ]
                },
                {
                  "billed_charge": 242.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326204793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1326204793
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1326204793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487249736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1487249736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518254176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.53,
              "providers": [
                {
                  "billed_charge": 24.53,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.61,
              "providers": [
                {
                  "billed_charge": 36.61,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1518254176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538129440"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.93,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.1,
              "providers": [
                {
                  "billed_charge": 38.1,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 41.7,
              "providers": [
                {
                  "billed_charge": 41.7,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.3,
              "providers": [
                {
                  "billed_charge": 44.3,
                  "npi": [
                    1538129440
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538547070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.93,
              "providers": [
                {
                  "billed_charge": 45.64,
                  "npi": [
                    1538547070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699905554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.76,
              "providers": [
                {
                  "billed_charge": 58.76,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.77,
              "providers": [
                {
                  "billed_charge": 58.77,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 86.39,
              "providers": [
                {
                  "billed_charge": 86.39,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760821524"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.89,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1760821524
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.75,
              "providers": [
                {
                  "billed_charge": 33.75,
                  "npi": [
                    1760821524
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1760821524
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851343909"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.09,
              "providers": [
                {
                  "billed_charge": 14.09,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.1,
              "providers": [
                {
                  "billed_charge": 14.1,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.83,
              "providers": [
                {
                  "billed_charge": 47.4,
                  "npi": [
                    1851343909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871525287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.36,
              "providers": [
                {
                  "billed_charge": 21.36,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.38,
              "providers": [
                {
                  "billed_charge": 21.38,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.64,
              "providers": [
                {
                  "billed_charge": 26.64,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.65,
              "providers": [
                {
                  "billed_charge": 26.65,
                  "npi": [
                    1871525287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871738872"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.99,
              "providers": [
                {
                  "billed_charge": 16.99,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1871738872
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982797494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1982797494
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Magnesium test",
      "billing_code_type": "CPT",
      "billing_code": "83735",
      "billing_code_type_version": "2026",
      "description": "Magnesium test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 702.0,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487607792"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1487607792
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.05,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.61,
              "providers": [
                {
                  "billed_charge": 14.61,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689650616"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 8.62,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750312997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.84,
              "providers": [
                {
                  "billed_charge": 60.84,
                  "npi": [
                    1750312997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871556621"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.36,
              "providers": [
                {
                  "billed_charge": 46.0,
                  "npi": [
                    1871556621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 8.62,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.39,
              "providers": [
                {
                  "billed_charge": 8.39,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.7,
              "providers": [
                {
                  "billed_charge": 6.7,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                },
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.84,
              "providers": [
                {
                  "billed_charge": 60.84,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.5,
              "providers": [
                {
                  "billed_charge": 100.5,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.51,
              "providers": [
                {
                  "billed_charge": 100.51,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.65,
              "providers": [
                {
                  "billed_charge": 100.65,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.83,
              "providers": [
                {
                  "billed_charge": 100.83,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 101.5,
              "providers": [
                {
                  "billed_charge": 101.5,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Inpatient hospital observation care provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99232",
      "billing_code_type_version": "2026",
      "description": "Inpatient hospital observation care provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1154978930"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 113.72,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1154978930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 90.16,
              "providers": [
                {
                  "billed_charge": 90.16,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366976276"
          },
          "service_code": [
            "61",
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 113.72,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1366976276
                  ]
                },
                {
                  "billed_charge": 244.0,
                  "npi": [
                    1366976276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 88.43,
              "providers": [
                {
                  "billed_charge": 88.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 104.03,
              "providers": [
                {
                  "billed_charge": 104.03,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467765024"
          },
          "service_code": [
            "61"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 113.72,
              "providers": [
                {
                  "billed_charge": 244.0,
                  "npi": [
                    1467765024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477651495"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 117.48,
              "providers": [
                {
                  "billed_charge": 117.48,
                  "npi": [
                    1477651495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538117551"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 117.48,
              "providers": [
                {
                  "billed_charge": 138.7,
                  "npi": [
                    1538117551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720034051"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 113.72,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1720034051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 117.48,
              "providers": [
                {
                  "billed_charge": 138.7,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790814325"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 62.18,
              "providers": [
                {
                  "billed_charge": 62.18,
                  "npi": [
                    1790814325
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861439952"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 113.72,
              "providers": [
                {
                  "billed_charge": 113.72,
                  "npi": [
                    1861439952
                  ]
                },
                {
                  "billed_charge": 363.7,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962712828"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 113.72,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1962712828
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194277186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.9,
              "providers": [
                {
                  "billed_charge": 12.9,
                  "npi": [
                    1194277186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295789907"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 510.0,
                  "npi": [
                    1295789907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396001780"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.48,
              "providers": [
                {
                  "billed_charge": 64.48,
                  "npi": [
                    1396001780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467738252"
          },
          "service_code": [
            "81",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.83,
              "providers": [
                {
                  "billed_charge": 13.66,
                  "npi": [
                    1467738252
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.66,
              "providers": [
                {
                  "billed_charge": 13.66,
                  "npi": [
                    1467738252
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477531580"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.45,
              "providers": [
                {
                  "billed_charge": 64.45,
                  "npi": [
                    1477531580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487251948"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.48,
              "providers": [
                {
                  "billed_charge": 64.48,
                  "npi": [
                    1487251948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568667087"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.66,
              "providers": [
                {
                  "billed_charge": 13.66,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            },
            {
              "allowed_amount": 64.44,
              "providers": [
                {
                  "billed_charge": 64.44,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            },
            {
              "allowed_amount": 64.45,
              "providers": [
                {
                  "billed_charge": 64.45,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            },
            {
              "allowed_amount": 64.48,
              "providers": [
                {
                  "billed_charge": 64.48,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.02,
              "providers": [
                {
                  "billed_charge": 66.02,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598980310"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.48,
              "providers": [
                {
                  "billed_charge": 64.48,
                  "npi": [
                    1598980310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699979732"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 163.85,
                  "npi": [
                    1699979732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750068565"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.33,
              "providers": [
                {
                  "billed_charge": 21.33,
                  "npi": [
                    1750068565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790715381"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1790715381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790822583"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1790822583
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952340994"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1952340994
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023250388"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1023250388
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164298444"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.2,
              "providers": [
                {
                  "billed_charge": 165.2,
                  "npi": [
                    1164298444
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275166357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1275166357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275917296"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 263.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1275917296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407266703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1407266703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437608460"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1437608460
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811105224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1811105224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033162037"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 348.0,
                  "npi": [
                    1033162037
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053502559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1053502559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063032993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 227.45,
                  "npi": [
                    1063032993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063463768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.11,
              "providers": [
                {
                  "billed_charge": 540.0,
                  "npi": [
                    1063463768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073832812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.91,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1073832812
                  ]
                }
              ]
            },
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1073832812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205389905"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.72,
              "providers": [
                {
                  "billed_charge": 157.72,
                  "npi": [
                    1205389905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235363375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1235363375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275763427"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 162.0,
                  "npi": [
                    1275763427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386640829"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1386640829
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427034164"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1427034164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487212551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.5,
              "providers": [
                {
                  "billed_charge": 145.5,
                  "npi": [
                    1487212551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528588878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.12,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1528588878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538597273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.49,
              "providers": [
                {
                  "billed_charge": 71.49,
                  "npi": [
                    1538597273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 79.6,
              "providers": [
                {
                  "billed_charge": 79.6,
                  "npi": [
                    1538597273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 178.8,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1538597273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619760006"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1619760006
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669062899"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1669062899
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1669062899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679230684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.52,
              "providers": [
                {
                  "billed_charge": 148.52,
                  "npi": [
                    1679230684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679614838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1679614838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689023830"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1689023830
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770944761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1770944761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790596161"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1790596161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.61,
              "providers": [
                {
                  "billed_charge": 135.61,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861018988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1861018988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972488427"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.6,
              "providers": [
                {
                  "billed_charge": 174.6,
                  "npi": [
                    1972488427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.11,
              "providers": [
                {
                  "billed_charge": 395.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for adaptive behavior treatment with protocol modification",
      "billing_code_type": "CPT",
      "billing_code": "97155",
      "billing_code_type_version": "2026",
      "description": "Provider fee for adaptive behavior treatment with protocol modification",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124577192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 240.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 420.0,
              "providers": [
                {
                  "billed_charge": 420.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 450.0,
              "providers": [
                {
                  "billed_charge": 450.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477717346"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.25,
              "providers": [
                {
                  "billed_charge": 31.25,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.5,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 156.25,
              "providers": [
                {
                  "billed_charge": 156.25,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 218.75,
              "providers": [
                {
                  "billed_charge": 218.75,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 281.25,
              "providers": [
                {
                  "billed_charge": 281.25,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 437.5,
              "providers": [
                {
                  "billed_charge": 437.5,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pediatrician visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Pediatrician visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114962172"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.0,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1114962172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184704181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.7,
              "providers": [
                {
                  "billed_charge": 91.7,
                  "npi": [
                    1184704181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 218.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316947021"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1316947021
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487739306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1487739306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740011097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1740011097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.38,
              "providers": [
                {
                  "billed_charge": 101.38,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for blood typing test",
      "billing_code_type": "CPT",
      "billing_code": "86901",
      "billing_code_type_version": "2026",
      "description": "Lab fee for blood typing test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1275593147"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1275593147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922310200"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1922310200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.58,
              "providers": [
                {
                  "billed_charge": 3.58,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Well-child visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99394",
      "billing_code_type_version": "2026",
      "description": "Well-child visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.24,
              "providers": [
                {
                  "billed_charge": 171.24,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.55,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255612107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.24,
              "providers": [
                {
                  "billed_charge": 171.24,
                  "npi": [
                    1255612107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699700526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1699700526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720281587"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1720281587
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.36,
              "providers": [
                {
                  "billed_charge": 228.32,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144203563"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1144203563
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205167350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 12.8,
                  "npi": [
                    1205167350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205242039"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1205242039
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265417653"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1265417653
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386840379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.5,
              "providers": [
                {
                  "billed_charge": 7.5,
                  "npi": [
                    1386840379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427055821"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.26,
              "providers": [
                {
                  "billed_charge": 7.26,
                  "npi": [
                    1427055821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.93,
              "providers": [
                {
                  "billed_charge": 7.93,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497118657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.97,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1497118657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700082211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1700082211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710929914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1710929914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.9,
              "providers": [
                {
                  "billed_charge": 6.9,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801476502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1801476502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811151244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 19.5,
                  "npi": [
                    1811151244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962129874"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1962129874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Speech therapy session",
      "billing_code_type": "CPT",
      "billing_code": "92507",
      "billing_code_type_version": "2026",
      "description": "Speech therapy session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043434699"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1043434699
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124740733"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.57,
              "providers": [
                {
                  "billed_charge": 55.57,
                  "npi": [
                    1124740733
                  ]
                }
              ]
            },
            {
              "allowed_amount": 97.78,
              "providers": [
                {
                  "billed_charge": 97.78,
                  "npi": [
                    1124740733
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1124740733
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417904947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1417904947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 573.1,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669269254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.54,
              "providers": [
                {
                  "billed_charge": 61.54,
                  "npi": [
                    1669269254
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1538828306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.38,
              "providers": [
                {
                  "billed_charge": 13.38,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.28,
              "providers": [
                {
                  "billed_charge": 15.28,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.37,
              "providers": [
                {
                  "billed_charge": 26.37,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.56,
              "providers": [
                {
                  "billed_charge": 30.56,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.76,
              "providers": [
                {
                  "billed_charge": 30.76,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.77,
              "providers": [
                {
                  "billed_charge": 30.77,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.75,
              "providers": [
                {
                  "billed_charge": 46.75,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942850854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.85,
              "providers": [
                {
                  "billed_charge": 13.85,
                  "npi": [
                    1942850854
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Emergency visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99283",
      "billing_code_type_version": "2026",
      "description": "Emergency visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.07,
              "providers": [
                {
                  "billed_charge": 103.07,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.07,
              "providers": [
                {
                  "billed_charge": 103.07,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285757161"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.95,
              "providers": [
                {
                  "billed_charge": 77.95,
                  "npi": [
                    1285757161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356015564"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.07,
              "providers": [
                {
                  "billed_charge": 103.07,
                  "npi": [
                    1356015564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.07,
              "providers": [
                {
                  "billed_charge": 103.07,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811097223"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.04,
              "providers": [
                {
                  "billed_charge": 140.04,
                  "npi": [
                    1811097223
                  ]
                },
                {
                  "billed_charge": 429.0,
                  "npi": [
                    1811097223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.04,
              "providers": [
                {
                  "billed_charge": 140.04,
                  "npi": [
                    1982601456
                  ]
                },
                {
                  "billed_charge": 429.0,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "22",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            },
            {
              "allowed_amount": 97.2,
              "providers": [
                {
                  "billed_charge": 115.8,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124043120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1124043120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194958223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 282.0,
                  "npi": [
                    1194958223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205360518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.75,
              "providers": [
                {
                  "billed_charge": 178.75,
                  "npi": [
                    1205360518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275574139"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 265.18,
              "providers": [
                {
                  "billed_charge": 265.18,
                  "npi": [
                    1275574139
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346379534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.1,
              "providers": [
                {
                  "billed_charge": 116.1,
                  "npi": [
                    1346379534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.09,
              "providers": [
                {
                  "billed_charge": 179.09,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447625413"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1447625413
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457818536"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.38,
              "providers": [
                {
                  "billed_charge": 172.38,
                  "npi": [
                    1457818536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609247949"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.14,
              "providers": [
                {
                  "billed_charge": 108.14,
                  "npi": [
                    1609247949
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.66,
              "providers": [
                {
                  "billed_charge": 179.09,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077364"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 179.09,
              "providers": [
                {
                  "billed_charge": 179.09,
                  "npi": [
                    1689077364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689183683"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1689183683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699747303"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.71,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            },
            {
              "allowed_amount": 193.22,
              "providers": [
                {
                  "billed_charge": 302.82,
                  "npi": [
                    1699747303
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710183520"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1710183520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780994970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.25,
              "providers": [
                {
                  "billed_charge": 146.25,
                  "npi": [
                    1780994970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 194.0,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912305483"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 395.0,
                  "npi": [
                    1912305483
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013201417"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1013201417
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023248895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1023248895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134164692"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 166.49,
                  "npi": [
                    1134164692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.81,
              "providers": [
                {
                  "billed_charge": 122.81,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.81,
              "providers": [
                {
                  "billed_charge": 188.78,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11",
            "02",
            "20",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.24,
              "providers": [
                {
                  "billed_charge": 67.24,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 79.11,
              "providers": [
                {
                  "billed_charge": 79.11,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 108.26,
              "providers": [
                {
                  "billed_charge": 108.26,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.36,
              "providers": [
                {
                  "billed_charge": 127.36,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336550755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1336550755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366526782"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1366526782
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407880909"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1407880909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417492554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.64,
              "providers": [
                {
                  "billed_charge": 84.64,
                  "npi": [
                    1417492554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 387.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538117551"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.07,
              "providers": [
                {
                  "billed_charge": 113.02,
                  "npi": [
                    1538117551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538337480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1538337480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588986707"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.87,
              "providers": [
                {
                  "billed_charge": 138.78,
                  "npi": [
                    1588986707
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598821175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.74,
              "providers": [
                {
                  "billed_charge": 66.74,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 137.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689671596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1689671596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740573310"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 166.49,
                  "npi": [
                    1740573310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750386173"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1750386173
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780838847"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.01,
              "providers": [
                {
                  "billed_charge": 115.01,
                  "npi": [
                    1780838847
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811164254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.5,
              "providers": [
                {
                  "billed_charge": 166.5,
                  "npi": [
                    1811164254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821029729"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1821029729
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821661372"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1821661372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.22,
              "providers": [
                {
                  "billed_charge": 91.22,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841302551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1841302551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891887790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.22,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1891887790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.3,
              "providers": [
                {
                  "billed_charge": 137.81,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.57,
              "providers": [
                {
                  "billed_charge": 144.57,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912099839"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1912099839
                  ]
                }
              ]
            },
            {
              "allowed_amount": 113.25,
              "providers": [
                {
                  "billed_charge": 113.25,
                  "npi": [
                    1912099839
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1912099839
                  ]
                }
              ]
            },
            {
              "allowed_amount": 222.0,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1912099839
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952411233"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1952411233
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using neuormuscular re-education",
      "billing_code_type": "CPT",
      "billing_code": "97112",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using neuormuscular re-education",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073690509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.05,
              "providers": [
                {
                  "billed_charge": 28.05,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.06,
              "providers": [
                {
                  "billed_charge": 28.06,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104914274"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.25,
              "providers": [
                {
                  "billed_charge": 123.25,
                  "npi": [
                    1104914274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336226851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.05,
              "providers": [
                {
                  "billed_charge": 28.05,
                  "npi": [
                    1336226851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578087086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1578087086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730890559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1730890559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972924892"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1972924892
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure alanine amino transferase (alt) (sgpt)",
      "billing_code_type": "CPT",
      "billing_code": "84460",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure alanine amino transferase (alt) (sgpt)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.2,
              "providers": [
                {
                  "billed_charge": 11.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.93,
              "providers": [
                {
                  "billed_charge": 11.93,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Echocardiogram",
      "billing_code_type": "CPT",
      "billing_code": "93306",
      "billing_code_type_version": "2026",
      "description": "Echocardiogram",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.82,
              "providers": [
                {
                  "billed_charge": 98.82,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 344.8,
              "providers": [
                {
                  "billed_charge": 344.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.82,
              "providers": [
                {
                  "billed_charge": 98.82,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.29,
              "providers": [
                {
                  "billed_charge": 115.29,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.56,
              "providers": [
                {
                  "billed_charge": 191.67,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.82,
              "providers": [
                {
                  "billed_charge": 98.82,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811097223"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.82,
              "providers": [
                {
                  "billed_charge": 98.82,
                  "npi": [
                    1811097223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.56,
              "providers": [
                {
                  "billed_charge": 131.76,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.82,
              "providers": [
                {
                  "billed_charge": 98.82,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.8,
              "providers": [
                {
                  "billed_charge": 100.8,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for extra complexity in an evaluation and management visit",
      "billing_code_type": "HCPCS",
      "billing_code": "G2211",
      "billing_code_type_version": "2026",
      "description": "Provider fee for extra complexity in an evaluation and management visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.72,
              "providers": [
                {
                  "billed_charge": 23.63,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285173195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.36,
              "providers": [
                {
                  "billed_charge": 20.71,
                  "npi": [
                    1285173195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1407844970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548430275"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.21,
              "providers": [
                {
                  "billed_charge": 94.25,
                  "npi": [
                    1548430275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558325373"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1558325373
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1578545273
                  ]
                },
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 3.38,
              "providers": [
                {
                  "billed_charge": 3.38,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.01,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "10",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.28,
              "providers": [
                {
                  "billed_charge": 28.28,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.76,
              "providers": [
                {
                  "billed_charge": 33.76,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.21,
              "providers": [
                {
                  "billed_charge": 94.25,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.54,
              "providers": [
                {
                  "billed_charge": 29.54,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.01,
              "providers": [
                {
                  "billed_charge": 27.01,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750330551"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1750330551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780625962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780625962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.01,
              "providers": [
                {
                  "billed_charge": 28.9,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.73,
              "providers": [
                {
                  "billed_charge": 28.9,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.9,
              "providers": [
                {
                  "billed_charge": 28.9,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811979420"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.66,
              "providers": [
                {
                  "billed_charge": 94.25,
                  "npi": [
                    1811979420
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871563106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.01,
              "providers": [
                {
                  "billed_charge": 28.9,
                  "npi": [
                    1871563106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912066499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962601229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.65,
              "providers": [
                {
                  "billed_charge": 3.65,
                  "npi": [
                    1962601229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.15,
              "providers": [
                {
                  "billed_charge": 20.15,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1306497276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1306497276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326379868"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1326379868
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447880562"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.05,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1447880562
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639913932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1639913932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669994158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1669994158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851262109"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.91,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1851262109
                  ]
                },
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1851262109
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1851262109
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972320232"
          },
          "service_code": [
            "11",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.91,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1972320232
                  ]
                },
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972320232
                  ]
                }
              ]
            },
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1972320232
                  ]
                }
              ]
            },
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1972320232
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            },
            {
              "allowed_amount": 123.91,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235115437"
          },
          "service_code": [
            "81",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1235115437
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1235115437
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.33,
              "providers": [
                {
                  "billed_charge": 79.33,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740230119"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.31,
              "providers": [
                {
                  "billed_charge": 8.31,
                  "npi": [
                    1740230119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code": "3078F",
      "billing_code_type_version": "2026",
      "description": "3078F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093089831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1093089831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184233454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1184233454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11",
            "22",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588925457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1588925457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942387543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942387543
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043397292"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 14.01,
                  "npi": [
                    1043397292
                  ]
                },
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1043397292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053088302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.87,
                  "npi": [
                    1053088302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154483022"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.61,
              "providers": [
                {
                  "billed_charge": 12.61,
                  "npi": [
                    1154483022
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205942406"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.86,
              "providers": [
                {
                  "billed_charge": 22.86,
                  "npi": [
                    1205942406
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275515488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1275515488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.33,
              "providers": [
                {
                  "billed_charge": 14.33,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.41,
              "providers": [
                {
                  "billed_charge": 20.41,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.69,
              "providers": [
                {
                  "billed_charge": 3.69,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427068634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1427068634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437156486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 15.13,
                  "npi": [
                    1437156486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.81,
              "providers": [
                {
                  "billed_charge": 15.81,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508835828"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1508835828
                  ]
                },
                {
                  "billed_charge": 12.3,
                  "npi": [
                    1508835828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.41,
              "providers": [
                {
                  "billed_charge": 8.41,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679820534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 13.65,
                  "npi": [
                    1679820534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689696148"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.82,
              "providers": [
                {
                  "billed_charge": 18.2,
                  "npi": [
                    1689696148
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 14.94,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750343216"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1750343216
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811939887"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871524082"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.69,
              "providers": [
                {
                  "billed_charge": 3.69,
                  "npi": [
                    1871524082
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902918030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.0,
              "providers": [
                {
                  "billed_charge": 3.0,
                  "npi": [
                    1902918030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pulmonologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Pulmonologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013915263"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1013915263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.84,
              "providers": [
                {
                  "billed_charge": 127.84,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.77,
              "providers": [
                {
                  "billed_charge": 127.84,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073603999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.44,
              "providers": [
                {
                  "billed_charge": 50.44,
                  "npi": [
                    1073603999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093101750"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1093101750
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134633761"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1134633761
                  ]
                }
              ]
            },
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1134633761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.88,
              "providers": [
                {
                  "billed_charge": 95.88,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154373199"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 197.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1154373199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174419642"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.43,
              "providers": [
                {
                  "billed_charge": 91.43,
                  "npi": [
                    1174419642
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.52,
              "providers": [
                {
                  "billed_charge": 100.52,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205836533"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1205836533
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225022965"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1225022965
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.32,
              "providers": [
                {
                  "billed_charge": 135.32,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255366555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.4,
              "providers": [
                {
                  "billed_charge": 88.4,
                  "npi": [
                    1255366555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285632430"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.8,
              "providers": [
                {
                  "billed_charge": 112.8,
                  "npi": [
                    1285632430
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295717338"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1295717338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 146.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326544875"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1326544875
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.25,
              "providers": [
                {
                  "billed_charge": 72.25,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.42,
              "providers": [
                {
                  "billed_charge": 90.42,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356840102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1356840102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.29,
              "providers": [
                {
                  "billed_charge": 168.29,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427034131"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1427034131
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437169737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1437169737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457640930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1457640930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477524247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1477524247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477661478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 184.32,
              "providers": [
                {
                  "billed_charge": 184.32,
                  "npi": [
                    1477661478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487409090"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.4,
              "providers": [
                {
                  "billed_charge": 119.4,
                  "npi": [
                    1487409090
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508852740"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1508852740
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508870502"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.0,
              "providers": [
                {
                  "billed_charge": 98.0,
                  "npi": [
                    1508870502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558568907"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1558568907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568007425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.97,
              "providers": [
                {
                  "billed_charge": 90.97,
                  "npi": [
                    1568007425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568842813"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.05,
              "providers": [
                {
                  "billed_charge": 143.05,
                  "npi": [
                    1568842813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588936207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.75,
              "providers": [
                {
                  "billed_charge": 87.75,
                  "npi": [
                    1588936207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598821175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.6,
              "providers": [
                {
                  "billed_charge": 60.6,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.96,
              "providers": [
                {
                  "billed_charge": 89.96,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669478681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.62,
              "providers": [
                {
                  "billed_charge": 209.21,
                  "npi": [
                    1669478681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689220352"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.78,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1689220352
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699398495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.99,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1699398495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.15,
              "providers": [
                {
                  "billed_charge": 73.15,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 84.77,
              "providers": [
                {
                  "billed_charge": 84.77,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699859215"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1699859215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710208269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.65,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1710208269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710943485"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.3,
              "providers": [
                {
                  "billed_charge": 125.3,
                  "npi": [
                    1710943485
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.54,
              "providers": [
                {
                  "billed_charge": 104.54,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780994970"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1780994970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.48,
              "providers": [
                {
                  "billed_charge": 75.48,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801819883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1801819883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831292143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1831292143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.53,
              "providers": [
                {
                  "billed_charge": 198.53,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861412785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1861412785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871913731"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.0,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1871913731
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.55,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1871913731
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871930917"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.82,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1871930917
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881648210"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 159.0,
                  "npi": [
                    1881648210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932906500"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1932906500
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.64,
              "providers": [
                {
                  "billed_charge": 145.55,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982065181"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1982065181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for interactive psychotherapy",
      "billing_code_type": "CPT",
      "billing_code": "90785",
      "billing_code_type_version": "2026",
      "description": "Provider fee for interactive psychotherapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033973250"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.62,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1033973250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073054219"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.04,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1073054219
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508394727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.88,
              "providers": [
                {
                  "billed_charge": 20.63,
                  "npi": [
                    1508394727
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.11,
              "providers": [
                {
                  "billed_charge": 22.72,
                  "npi": [
                    1508394727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760988745"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1760988745
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902665698"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1902665698
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972140044"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.35,
              "providers": [
                {
                  "billed_charge": 17.35,
                  "npi": [
                    1972140044
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033351226"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.78,
              "providers": [
                {
                  "billed_charge": 13.78,
                  "npi": [
                    1033351226
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114355260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114355260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124061882"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1124061882
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134787625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154640993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1154640993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164590576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.8,
              "providers": [
                {
                  "billed_charge": 35.8,
                  "npi": [
                    1164590576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194744326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194744326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 20.84,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 82.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205855988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.3,
              "providers": [
                {
                  "billed_charge": 8.3,
                  "npi": [
                    1205855988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225162894"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 209.49,
              "providers": [
                {
                  "billed_charge": 209.49,
                  "npi": [
                    1225162894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.68,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235455569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 20.75,
                  "npi": [
                    1235455569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275779225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1275779225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295788735"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1295788735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 19.63,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 179.5,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588665566"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 53.85,
                  "npi": [
                    1588665566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679502959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.48,
              "providers": [
                {
                  "billed_charge": 7.48,
                  "npi": [
                    1679502959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.98,
              "providers": [
                {
                  "billed_charge": 11.98,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952316747"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1952316747
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962493650"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.04,
              "providers": [
                {
                  "billed_charge": 7.58,
                  "npi": [
                    1962493650
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.22,
              "providers": [
                {
                  "billed_charge": 4.22,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine EKG",
      "billing_code_type": "CPT",
      "billing_code": "93010",
      "billing_code_type_version": "2026",
      "description": "Routine EKG",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.26,
              "providers": [
                {
                  "billed_charge": 14.26,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.94,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356015564"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1356015564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "19",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.26,
              "providers": [
                {
                  "billed_charge": 14.26,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811097223"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.94,
              "providers": [
                {
                  "billed_charge": 11.94,
                  "npi": [
                    1811097223
                  ]
                },
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1811097223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.2,
              "providers": [
                {
                  "billed_charge": 11.2,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.3,
              "providers": [
                {
                  "billed_charge": 16.3,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "23",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.94,
              "providers": [
                {
                  "billed_charge": 11.94,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for CT scan of stomach and pelvis",
      "billing_code_type": "CPT",
      "billing_code": "74177",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for CT scan of stomach and pelvis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 520.0,
                  "npi": [
                    1003878539
                  ]
                },
                {
                  "billed_charge": 5063.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "23",
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.05,
              "providers": [
                {
                  "billed_charge": 123.05,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 762.57,
              "providers": [
                {
                  "billed_charge": 762.57,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "23",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.05,
              "providers": [
                {
                  "billed_charge": 123.05,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.05,
              "providers": [
                {
                  "billed_charge": 123.05,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 457.49,
              "providers": [
                {
                  "billed_charge": 457.49,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.0,
              "providers": [
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063481141"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1063481141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154857340"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1154857340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164023677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.74,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1164023677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 28.51,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215960901"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 42.63,
                  "npi": [
                    1215960901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255372207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1255372207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.59,
              "providers": [
                {
                  "billed_charge": 60.59,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "21",
            "23",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844657"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1407844657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427618305"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.4,
              "providers": [
                {
                  "billed_charge": 7.4,
                  "npi": [
                    1427618305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467492421"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 13.52,
                  "npi": [
                    1467492421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497850275"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1497850275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558545202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.0,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1558545202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568562551"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609189604"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609189604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720048143"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.42,
                  "npi": [
                    1720048143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.31,
              "providers": [
                {
                  "billed_charge": 34.31,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.0,
              "providers": [
                {
                  "billed_charge": 4.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 21.37,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942385794"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942385794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043233984"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1043233984
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1134152986
                  ]
                },
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174820971"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.5,
              "providers": [
                {
                  "billed_charge": 3.5,
                  "npi": [
                    1174820971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 13.76,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316966518"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1316966518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 35.38,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437122009"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1437122009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.27,
              "providers": [
                {
                  "billed_charge": 73.75,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.99,
              "providers": [
                {
                  "billed_charge": 6.99,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 23.2,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 52.8,
              "providers": [
                {
                  "billed_charge": 52.8,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699819003"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.5,
              "providers": [
                {
                  "billed_charge": 13.5,
                  "npi": [
                    1699819003
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750317228"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1750317228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760764849"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.1,
              "providers": [
                {
                  "billed_charge": 39.1,
                  "npi": [
                    1760764849
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942224696"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1942224696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure progesterone level",
      "billing_code_type": "CPT",
      "billing_code": "84144",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure progesterone level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.6,
              "providers": [
                {
                  "billed_charge": 41.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.86,
              "providers": [
                {
                  "billed_charge": 20.86,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.94,
              "providers": [
                {
                  "billed_charge": 46.94,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.86,
              "providers": [
                {
                  "billed_charge": 20.86,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992894695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.41,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1992894695
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Chiropractor adjustment",
      "billing_code_type": "CPT",
      "billing_code": "98940",
      "billing_code_type_version": "2026",
      "description": "Chiropractor adjustment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063611283"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1063611283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104714526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1104714526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154669075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1154669075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215350541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1215350541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245535129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1245535129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346242914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1346242914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407253578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.81,
              "providers": [
                {
                  "billed_charge": 28.81,
                  "npi": [
                    1407253578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528127628"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1528127628
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578756201"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1578756201
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043331978"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.1,
              "providers": [
                {
                  "billed_charge": 29.1,
                  "npi": [
                    1043331978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.2,
              "providers": [
                {
                  "billed_charge": 58.2,
                  "npi": [
                    1043331978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063449536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 12.98,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.86,
              "providers": [
                {
                  "billed_charge": 17.61,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.66,
              "providers": [
                {
                  "billed_charge": 25.39,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.62,
              "providers": [
                {
                  "billed_charge": 26.93,
                  "npi": [
                    1063449536
                  ]
                },
                {
                  "billed_charge": 26.95,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 35.68,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.88,
              "providers": [
                {
                  "billed_charge": 77.64,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.54,
              "providers": [
                {
                  "billed_charge": 155.3,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699905554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.29,
              "providers": [
                {
                  "billed_charge": 15.06,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.66,
              "providers": [
                {
                  "billed_charge": 25.38,
                  "npi": [
                    1699905554
                  ]
                },
                {
                  "billed_charge": 25.39,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.96,
              "providers": [
                {
                  "billed_charge": 25.39,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.62,
              "providers": [
                {
                  "billed_charge": 26.95,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.23,
              "providers": [
                {
                  "billed_charge": 53.9,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922303627"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.44,
              "providers": [
                {
                  "billed_charge": 15.44,
                  "npi": [
                    1922303627
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.74,
              "providers": [
                {
                  "billed_charge": 33.91,
                  "npi": [
                    1922303627
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043266703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.19,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1043266703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053368845"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.33,
              "providers": [
                {
                  "billed_charge": 219.06,
                  "npi": [
                    1053368845
                  ]
                }
              ]
            },
            {
              "allowed_amount": 212.0,
              "providers": [
                {
                  "billed_charge": 244.0,
                  "npi": [
                    1053368845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154082642"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.56,
              "providers": [
                {
                  "billed_charge": 146.56,
                  "npi": [
                    1154082642
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235177882"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1235177882
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245569938"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1245569938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265720569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1265720569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295991651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.8,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1295991651
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326206871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1326206871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346967122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1346967122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376592048"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.01,
              "providers": [
                {
                  "billed_charge": 70.01,
                  "npi": [
                    1376592048
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467556795"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.84,
              "providers": [
                {
                  "billed_charge": 95.84,
                  "npi": [
                    1467556795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639434236"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1639434236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659519361"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 347.49,
              "providers": [
                {
                  "billed_charge": 499.2,
                  "npi": [
                    1659519361
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679541031"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.4,
              "providers": [
                {
                  "billed_charge": 17.4,
                  "npi": [
                    1679541031
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689877748"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1689877748
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1689877748
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 382.0,
                  "npi": [
                    1689877748
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720480981"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1720480981
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720835721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1720835721
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730111287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1730111287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740243542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1740243542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902057243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1902057243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922470814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 172.0,
                  "npi": [
                    1922470814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962083428"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 234.85,
                  "npi": [
                    1962083428
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1962083428
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.0,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093997017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 71.0,
                  "npi": [
                    1093997017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104897859"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1104897859
                  ]
                },
                {
                  "billed_charge": 491.11,
                  "npi": [
                    1104897859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114283058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1114283058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124118062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124118062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174551147"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1174551147
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184709057"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.4,
              "providers": [
                {
                  "billed_charge": 10.4,
                  "npi": [
                    1184709057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194740787"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1194740787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255313664"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1255313664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306938071"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1306938071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326680927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.36,
              "providers": [
                {
                  "billed_charge": 32.36,
                  "npi": [
                    1326680927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376575514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1376575514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437122009"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437122009
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380444"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.36,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1558380444
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568460772"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1568460772
                  ]
                }
              ]
            },
            {
              "allowed_amount": 128.1,
              "providers": [
                {
                  "billed_charge": 128.1,
                  "npi": [
                    1568460772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679829816"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1679829816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699874248"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1699874248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.54,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871589192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.97,
              "providers": [
                {
                  "billed_charge": 16.84,
                  "npi": [
                    1871589192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982606992"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 94.0,
                  "npi": [
                    1982606992
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1538828306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.61,
              "providers": [
                {
                  "billed_charge": 15.61,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 17.82,
              "providers": [
                {
                  "billed_charge": 17.82,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.76,
              "providers": [
                {
                  "billed_charge": 30.76,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.77,
              "providers": [
                {
                  "billed_charge": 30.77,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.66,
              "providers": [
                {
                  "billed_charge": 35.66,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.9,
              "providers": [
                {
                  "billed_charge": 35.9,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.37,
              "providers": [
                {
                  "billed_charge": 36.37,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902362692"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1902362692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942850854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.15,
              "providers": [
                {
                  "billed_charge": 16.15,
                  "npi": [
                    1942850854
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99212",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063073831"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.04,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1063073831
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.06,
              "providers": [
                {
                  "billed_charge": 75.06,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083879399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1083879399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134817950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.48,
              "providers": [
                {
                  "billed_charge": 195.48,
                  "npi": [
                    1134817950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184256844"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 147.53,
                  "npi": [
                    1184256844
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184679482"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 148.0,
                  "npi": [
                    1184679482
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205833894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.75,
              "providers": [
                {
                  "billed_charge": 119.7,
                  "npi": [
                    1205833894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265797427"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1265797427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326356130"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 86.44,
              "providers": [
                {
                  "billed_charge": 86.44,
                  "npi": [
                    1326356130
                  ]
                }
              ]
            },
            {
              "allowed_amount": 113.44,
              "providers": [
                {
                  "billed_charge": 113.44,
                  "npi": [
                    1326356130
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326424763"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1326424763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346683695"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.68,
              "providers": [
                {
                  "billed_charge": 99.34,
                  "npi": [
                    1346683695
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366419574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.68,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1366419574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386283307"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1386283307
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417312075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1417312075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477589737"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1477589737
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487959755"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1487959755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497989479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.75,
              "providers": [
                {
                  "billed_charge": 62.75,
                  "npi": [
                    1497989479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538135207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.78,
              "providers": [
                {
                  "billed_charge": 62.78,
                  "npi": [
                    1538135207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548286172"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 581.9,
                  "npi": [
                    1548286172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.61,
              "providers": [
                {
                  "billed_charge": 78.61,
                  "npi": [
                    1558380527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598720054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1598720054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619124583"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1619124583
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659478287"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1659478287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902872997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.92,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1902872997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942326491"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1942326491
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mechanical traction therapy",
      "billing_code_type": "CPT",
      "billing_code": "97012",
      "billing_code_type_version": "2026",
      "description": "Mechanical traction therapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013052174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1013052174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.98,
              "providers": [
                {
                  "billed_charge": 24.98,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427345883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.9,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.15,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1427345883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.52,
              "providers": [
                {
                  "billed_charge": 14.52,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.53,
              "providers": [
                {
                  "billed_charge": 14.53,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.9,
              "providers": [
                {
                  "billed_charge": 31.13,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457304511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1457304511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558555805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1558555805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710400874"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.9,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1710400874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912925249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.9,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1912925249
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for pap smear",
      "billing_code_type": "CPT",
      "billing_code": "88175",
      "billing_code_type_version": "2026",
      "description": "Lab fee for pap smear",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1346389764"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.61,
              "providers": [
                {
                  "billed_charge": 26.61,
                  "npi": [
                    1346389764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.87,
              "providers": [
                {
                  "billed_charge": 59.87,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.09,
              "providers": [
                {
                  "billed_charge": 97.09,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891770806"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.79,
              "providers": [
                {
                  "billed_charge": 43.79,
                  "npi": [
                    1891770806
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003165283"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1003165283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063583904"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 230.0,
              "providers": [
                {
                  "billed_charge": 230.0,
                  "npi": [
                    1063583904
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093907412"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1093907412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114896453"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1114896453
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124458617"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 108.95,
              "providers": [
                {
                  "billed_charge": 108.95,
                  "npi": [
                    1124458617
                  ]
                }
              ]
            },
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1124458617
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134774623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1134774623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366456287"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 153.82,
                  "npi": [
                    1366456287
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407207111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.84,
              "providers": [
                {
                  "billed_charge": 189.12,
                  "npi": [
                    1407207111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447885710"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1447885710
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467124271"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1467124271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558302133"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1558302133
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588195226"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1588195226
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649266222"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 284.8,
              "providers": [
                {
                  "billed_charge": 316.8,
                  "npi": [
                    1649266222
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649877580"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1649877580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699296467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1699296467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700558574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1700558574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700649043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1700649043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770625485"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1770625485
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780320655"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1780320655
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831400100"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 94.56,
              "providers": [
                {
                  "billed_charge": 94.56,
                  "npi": [
                    1831400100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861618035"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1861618035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871851824"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 348.0,
              "providers": [
                {
                  "billed_charge": 350.0,
                  "npi": [
                    1871851824
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881690600"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1881690600
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891893343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.21,
              "providers": [
                {
                  "billed_charge": 274.08,
                  "npi": [
                    1891893343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902368517"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.0,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1902368517
                  ]
                }
              ]
            },
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1902368517
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952060329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1952060329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952546681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1952546681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023050101"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 106.05,
                  "npi": [
                    1023050101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154386431"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154386431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225034333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1225034333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255401519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.16,
              "providers": [
                {
                  "billed_charge": 58.1,
                  "npi": [
                    1255401519
                  ]
                },
                {
                  "billed_charge": 61.81,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.79,
              "providers": [
                {
                  "billed_charge": 61.79,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.8,
              "providers": [
                {
                  "billed_charge": 61.8,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.81,
              "providers": [
                {
                  "billed_charge": 61.81,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 87.58,
              "providers": [
                {
                  "billed_charge": 87.58,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366443368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.07,
              "providers": [
                {
                  "billed_charge": 11.07,
                  "npi": [
                    1366443368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609001312"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.06,
              "providers": [
                {
                  "billed_charge": 21.06,
                  "npi": [
                    1609001312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689744450"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 249.9,
              "providers": [
                {
                  "billed_charge": 249.9,
                  "npi": [
                    1689744450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700851649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 106.2,
                  "npi": [
                    1700851649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811518327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1811518327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841209012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.85,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1841209012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063790350"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.21,
              "providers": [
                {
                  "billed_charge": 113.21,
                  "npi": [
                    1063790350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063799120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.57,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1063799120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073981999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1073981999
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114003779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1114003779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114740362"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1114740362
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134184864"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1134184864
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144096553"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1144096553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164069472"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1164069472
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194891200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1194891200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235573841"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1235573841
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245746783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1245746783
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1245746783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275992240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 311.0,
                  "npi": [
                    1275992240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295120145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 246.6,
              "providers": [
                {
                  "billed_charge": 246.6,
                  "npi": [
                    1295120145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295963759"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.35,
              "providers": [
                {
                  "billed_charge": 150.35,
                  "npi": [
                    1295963759
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336998574"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.1,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1336998574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346343761"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.16,
              "providers": [
                {
                  "billed_charge": 122.16,
                  "npi": [
                    1346343761
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366765166"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.0,
              "providers": [
                {
                  "billed_charge": 97.0,
                  "npi": [
                    1366765166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407047269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1407047269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407864168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 498.0,
                  "npi": [
                    1407864168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417597170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1417597170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.25,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1417597170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457683914"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1457683914
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508212390"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1508212390
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.51,
              "providers": [
                {
                  "billed_charge": 125.51,
                  "npi": [
                    1508212390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538200035"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1538200035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548490550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1548490550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548863764"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.14,
              "providers": [
                {
                  "billed_charge": 119.14,
                  "npi": [
                    1548863764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669471728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.64,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1669471728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689178170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1689178170
                  ]
                }
              ]
            },
            {
              "allowed_amount": 157.2,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1689178170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726963"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1710726963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730147117"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1730147117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730705047"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 388.0,
                  "npi": [
                    1730705047
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740218072"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.51,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1740218072
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750509964"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.21,
              "providers": [
                {
                  "billed_charge": 113.21,
                  "npi": [
                    1750509964
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790081362"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1790081362
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.5,
              "providers": [
                {
                  "billed_charge": 84.5,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831117746"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1831117746
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962639807"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.02,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1962639807
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992799050"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1992799050
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Emergency medicine doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Emergency medicine doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003164211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.16,
              "providers": [
                {
                  "billed_charge": 111.16,
                  "npi": [
                    1003164211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063879286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 169.0,
                  "npi": [
                    1063879286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 112.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.26,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 243.9,
              "providers": [
                {
                  "billed_charge": 243.9,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245403567"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.0,
              "providers": [
                {
                  "billed_charge": 89.0,
                  "npi": [
                    1245403567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255538591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1255538591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316502883"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.2,
              "providers": [
                {
                  "billed_charge": 107.2,
                  "npi": [
                    1316502883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326120759"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 107.7,
              "providers": [
                {
                  "billed_charge": 600.0,
                  "npi": [
                    1326120759
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326364100"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1326364100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366182271"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.63,
              "providers": [
                {
                  "billed_charge": 190.63,
                  "npi": [
                    1366182271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366604522"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1366604522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386281574"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.97,
              "providers": [
                {
                  "billed_charge": 90.97,
                  "npi": [
                    1386281574
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407725724"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.2,
              "providers": [
                {
                  "billed_charge": 166.2,
                  "npi": [
                    1407725724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 141.0,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508685215"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.0,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1508685215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538522115"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.5,
              "providers": [
                {
                  "billed_charge": 174.5,
                  "npi": [
                    1538522115
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568526796"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.37,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1568526796
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598753907"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.9,
              "providers": [
                {
                  "billed_charge": 81.9,
                  "npi": [
                    1598753907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609171578"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1609171578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619691961"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1619691961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629716964"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 215.9,
              "providers": [
                {
                  "billed_charge": 215.9,
                  "npi": [
                    1629716964
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639217011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1639217011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649278730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.4,
              "providers": [
                {
                  "billed_charge": 102.4,
                  "npi": [
                    1649278730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720594971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.6,
              "providers": [
                {
                  "billed_charge": 125.6,
                  "npi": [
                    1720594971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750327565"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1750327565
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861444333"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.8,
              "providers": [
                {
                  "billed_charge": 160.8,
                  "npi": [
                    1861444333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881909372"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1881909372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952470643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.43,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1952470643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972532091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.46,
              "providers": [
                {
                  "billed_charge": 136.46,
                  "npi": [
                    1972532091
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992357354"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1992357354
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1992357354
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1205972270"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 159.04,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1205972270
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285626614"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 214.0,
              "providers": [
                {
                  "billed_charge": 264.0,
                  "npi": [
                    1285626614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326676438"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1326676438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346947058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.0,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1346947058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396979787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.38,
              "providers": [
                {
                  "billed_charge": 306.0,
                  "npi": [
                    1396979787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417316159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1417316159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437194156"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1437194156
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447420971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 204.95,
              "providers": [
                {
                  "billed_charge": 204.95,
                  "npi": [
                    1447420971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629318662"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1629318662
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659691772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1659691772
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 131.18,
              "providers": [
                {
                  "billed_charge": 131.18,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689610149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 340.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699791343"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 405.0,
                  "npi": [
                    1699791343
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770552234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1770552234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1770552234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790199172"
          },
          "service_code": [
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 199.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1790199172
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811982770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1811982770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881926244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1881926244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962263772"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.32,
              "providers": [
                {
                  "billed_charge": 143.41,
                  "npi": [
                    1962263772
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for allergy immunotherapy",
      "billing_code_type": "CPT",
      "billing_code": "95117",
      "billing_code_type_version": "2026",
      "description": "Provider fee for allergy immunotherapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1174536593"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1174536593
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558303875"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.6,
              "providers": [
                {
                  "billed_charge": 26.6,
                  "npi": [
                    1558303875
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598796195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1598796195
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.44,
              "providers": [
                {
                  "billed_charge": 57.44,
                  "npi": [
                    1598796195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669834784"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1669834784
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811035652"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.32,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1811035652
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Vaccine administration",
      "billing_code_type": "CPT",
      "billing_code": "90471",
      "billing_code_type_version": "2026",
      "description": "Vaccine administration",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.33,
              "providers": [
                {
                  "billed_charge": 26.33,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.98,
              "providers": [
                {
                  "billed_charge": 30.98,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.2,
              "providers": [
                {
                  "billed_charge": 38.2,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.4,
              "providers": [
                {
                  "billed_charge": 38.4,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.98,
              "providers": [
                {
                  "billed_charge": 30.98,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.98,
              "providers": [
                {
                  "billed_charge": 30.98,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.98,
              "providers": [
                {
                  "billed_charge": 30.98,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982761896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.24,
              "providers": [
                {
                  "billed_charge": 20.24,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1982761896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073552493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 181.94,
                  "npi": [
                    1073552493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.64,
              "providers": [
                {
                  "billed_charge": 118.26,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205886926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.87,
              "providers": [
                {
                  "billed_charge": 134.87,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225192610"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1225192610
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316966518"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.77,
              "providers": [
                {
                  "billed_charge": 127.84,
                  "npi": [
                    1316966518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366790099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1366790099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376579359"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.8,
              "providers": [
                {
                  "billed_charge": 120.8,
                  "npi": [
                    1376579359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417698838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.8,
              "providers": [
                {
                  "billed_charge": 121.8,
                  "npi": [
                    1417698838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.03,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1437125572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447553623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1447553623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518911338"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.2,
              "providers": [
                {
                  "billed_charge": 99.2,
                  "npi": [
                    1518911338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578615266"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1578615266
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629296918"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.36,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1629296918
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.87,
              "providers": [
                {
                  "billed_charge": 144.82,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730392309"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 179.0,
                  "npi": [
                    1730392309
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730795261"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1730795261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740581198"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1740581198
                  ]
                }
              ]
            },
            {
              "allowed_amount": 72.0,
              "providers": [
                {
                  "billed_charge": 72.0,
                  "npi": [
                    1740581198
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780803759"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.3,
              "providers": [
                {
                  "billed_charge": 125.3,
                  "npi": [
                    1780803759
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881794113"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1881794113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902214448"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.2,
              "providers": [
                {
                  "billed_charge": 67.2,
                  "npi": [
                    1902214448
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urinalysis",
      "billing_code_type": "CPT",
      "billing_code": "81001",
      "billing_code_type_version": "2026",
      "description": "Urinalysis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1154435824"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154435824
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174579155"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1174579155
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475771"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.96,
              "providers": [
                {
                  "billed_charge": 3.96,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1275581852
                  ]
                },
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.01,
              "providers": [
                {
                  "billed_charge": 4.01,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295788735"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.5,
              "providers": [
                {
                  "billed_charge": 38.5,
                  "npi": [
                    1295788735
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.17,
              "providers": [
                {
                  "billed_charge": 3.17,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447299649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447299649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457329435"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.53,
              "providers": [
                {
                  "billed_charge": 72.53,
                  "npi": [
                    1457329435
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528064649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 203.41,
                  "npi": [
                    1528064649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.01,
              "providers": [
                {
                  "billed_charge": 4.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548291883"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 87.34,
              "providers": [
                {
                  "billed_charge": 87.34,
                  "npi": [
                    1548291883
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 8.2,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568457950"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.97,
              "providers": [
                {
                  "billed_charge": 13.97,
                  "npi": [
                    1568457950
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.95,
              "providers": [
                {
                  "billed_charge": 18.95,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689641680"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689641680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689650616"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1689650616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720212228"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.01,
              "providers": [
                {
                  "billed_charge": 23.8,
                  "npi": [
                    1720212228
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730443805"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1730443805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750312997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.53,
              "providers": [
                {
                  "billed_charge": 72.53,
                  "npi": [
                    1750312997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.17,
              "providers": [
                {
                  "billed_charge": 3.17,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.01,
              "providers": [
                {
                  "billed_charge": 4.01,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.17,
              "providers": [
                {
                  "billed_charge": 3.17,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942526298"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.01,
              "providers": [
                {
                  "billed_charge": 4.01,
                  "npi": [
                    1942526298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962461681
                  ]
                },
                {
                  "billed_charge": 210.9,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.3,
              "providers": [
                {
                  "billed_charge": 141.3,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.39,
              "providers": [
                {
                  "billed_charge": 141.39,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.4,
              "providers": [
                {
                  "billed_charge": 141.4,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.51,
              "providers": [
                {
                  "billed_charge": 141.51,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 142.31,
              "providers": [
                {
                  "billed_charge": 142.31,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            },
            {
              "allowed_amount": 142.33,
              "providers": [
                {
                  "billed_charge": 142.33,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093090342"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1093090342
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093997017"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1093997017
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114283058"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1114283058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124118062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124118062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194062448"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1194062448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380444"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1558380444
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689354730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.3,
              "providers": [
                {
                  "billed_charge": 13.3,
                  "npi": [
                    1689354730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.42,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841242542"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1841242542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861136269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1861136269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982606992"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1982606992
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003304668"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 268.0,
                  "npi": [
                    1003304668
                  ]
                }
              ]
            },
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1003304668
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1003988197"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1003988197
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124197637"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 234.0,
              "providers": [
                {
                  "billed_charge": 234.0,
                  "npi": [
                    1124197637
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134508260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 202.5,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1134508260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.33,
              "providers": [
                {
                  "billed_charge": 221.33,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245261833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.4,
              "providers": [
                {
                  "billed_charge": 234.0,
                  "npi": [
                    1245261833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457326514"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.0,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1457326514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467857821"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.21,
              "providers": [
                {
                  "billed_charge": 98.21,
                  "npi": [
                    1467857821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497929251"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.4,
              "providers": [
                {
                  "billed_charge": 234.0,
                  "npi": [
                    1497929251
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 291.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            },
            {
              "allowed_amount": 233.94,
              "providers": [
                {
                  "billed_charge": 291.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588769061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 531.0,
                  "npi": [
                    1588769061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609135763"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.49,
              "providers": [
                {
                  "billed_charge": 164.49,
                  "npi": [
                    1609135763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619072188"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 531.0,
              "providers": [
                {
                  "billed_charge": 531.0,
                  "npi": [
                    1619072188
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619348414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1619348414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649217183"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1649217183
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659607000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 376.0,
              "providers": [
                {
                  "billed_charge": 376.0,
                  "npi": [
                    1659607000
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730159336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.0,
              "providers": [
                {
                  "billed_charge": 178.0,
                  "npi": [
                    1730159336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 334.2,
              "providers": [
                {
                  "billed_charge": 340.5,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 383.06,
              "providers": [
                {
                  "billed_charge": 383.06,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740398890"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 526.0,
                  "npi": [
                    1740398890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760940316"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1760940316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780625962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1780625962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 318.75,
              "providers": [
                {
                  "billed_charge": 318.75,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811979420"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 208.88,
              "providers": [
                {
                  "billed_charge": 676.0,
                  "npi": [
                    1811979420
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 334.2,
              "providers": [
                {
                  "billed_charge": 340.5,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942256888"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 233.94,
              "providers": [
                {
                  "billed_charge": 247.0,
                  "npi": [
                    1942256888
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952433898"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.5,
              "providers": [
                {
                  "billed_charge": 178.5,
                  "npi": [
                    1952433898
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1376116111"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.48,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1376116111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417952748"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1417952748
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487212551"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1487212551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679230684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1679230684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679614838"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1679614838
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720459589"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1720459589
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.91,
              "providers": [
                {
                  "billed_charge": 7.91,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811130339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1811130339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Inpatient hospital observation care provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99232",
      "billing_code_type_version": "2026",
      "description": "Inpatient hospital observation care provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 88.43,
              "providers": [
                {
                  "billed_charge": 88.43,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 88.43,
              "providers": [
                {
                  "billed_charge": 88.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 104.03,
              "providers": [
                {
                  "billed_charge": 104.03,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 117.48,
              "providers": [
                {
                  "billed_charge": 138.7,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.7,
              "providers": [
                {
                  "billed_charge": 138.7,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "billing_code_type": "CPT",
      "billing_code": "82306",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin d 25 hydroxy with fractionation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.8,
              "providers": [
                {
                  "billed_charge": 64.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.54,
              "providers": [
                {
                  "billed_charge": 18.54,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.77,
              "providers": [
                {
                  "billed_charge": 120.77,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 74.0,
              "providers": [
                {
                  "billed_charge": 74.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 217.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.64,
              "providers": [
                {
                  "billed_charge": 26.64,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.06,
              "providers": [
                {
                  "billed_charge": 38.06,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 29.6,
              "providers": [
                {
                  "billed_charge": 29.6,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.4,
              "providers": [
                {
                  "billed_charge": 118.4,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pulmonologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Pulmonologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1285758052"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.77,
              "providers": [
                {
                  "billed_charge": 127.77,
                  "npi": [
                    1285758052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477711760"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 306.31,
              "providers": [
                {
                  "billed_charge": 310.0,
                  "npi": [
                    1477711760
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528424439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1528424439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538337480"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1538337480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.0,
              "providers": [
                {
                  "billed_charge": 147.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            },
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639101199"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.26,
              "providers": [
                {
                  "billed_charge": 116.32,
                  "npi": [
                    1639101199
                  ]
                },
                {
                  "billed_charge": 290.81,
                  "npi": [
                    1639101199
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689835415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1689835415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710936828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1710936828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720049059"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1720049059
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821266438"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.86,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1821266438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912316886"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1912316886
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023447935"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 312.0,
                  "npi": [
                    1023447935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043269871"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1043269871
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063286813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1063286813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184642902"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 264.0,
                  "npi": [
                    1184642902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235176322"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1235176322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295776243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 1455.0,
                  "npi": [
                    1295776243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457972663"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1457972663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467124271"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1467124271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467468124"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1467468124
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487691127"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1487691127
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487875977"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1487875977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518021336"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.54,
              "providers": [
                {
                  "billed_charge": 89.54,
                  "npi": [
                    1518021336
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518676329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1518676329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528224219"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.43,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1528224219
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649765843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.5,
              "providers": [
                {
                  "billed_charge": 127.5,
                  "npi": [
                    1649765843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669429577"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 381.0,
                  "npi": [
                    1669429577
                  ]
                }
              ]
            },
            {
              "allowed_amount": 381.0,
              "providers": [
                {
                  "billed_charge": 381.0,
                  "npi": [
                    1669429577
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750626495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.5,
              "providers": [
                {
                  "billed_charge": 127.5,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871882159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1871882159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891255675"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 203.4,
                  "npi": [
                    1891255675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922673730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1922673730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932105558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1932105558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982643169"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 298.0,
                  "npi": [
                    1982643169
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for thyroid stimulating hormone (tsh) test",
      "billing_code_type": "CPT",
      "billing_code": "84443",
      "billing_code_type_version": "2026",
      "description": "Lab fee for thyroid stimulating hormone (tsh) test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 101.5,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 72.5,
              "providers": [
                {
                  "billed_charge": 72.5,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.84,
              "providers": [
                {
                  "billed_charge": 21.84,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720159338"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.36,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1720159338
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.0,
              "providers": [
                {
                  "billed_charge": 65.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 192.38,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 46.2,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 46.2,
              "providers": [
                {
                  "billed_charge": 46.2,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.05,
              "providers": [
                {
                  "billed_charge": 23.05,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.8,
              "providers": [
                {
                  "billed_charge": 16.8,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043968423"
          },
          "service_code": [
            "10",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1043968423
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073913174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1073913174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093257859"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1093257859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255089454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1255089454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437891546"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1437891546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558071027"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619048543"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1619048543
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659598357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1659598357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699098418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1699098418
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Thoracic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Thoracic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033229638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 295.14,
              "providers": [
                {
                  "billed_charge": 359.14,
                  "npi": [
                    1033229638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083141634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 184.5,
              "providers": [
                {
                  "billed_charge": 248.21,
                  "npi": [
                    1083141634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104183599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 369.0,
                  "npi": [
                    1104183599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104832906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.85,
              "providers": [
                {
                  "billed_charge": 226.15,
                  "npi": [
                    1104832906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104947175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1104947175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154302180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 297.0,
                  "npi": [
                    1154302180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154366417"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 241.91,
              "providers": [
                {
                  "billed_charge": 241.91,
                  "npi": [
                    1154366417
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154443414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.51,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1154443414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164471116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1164471116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205360518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 265.18,
              "providers": [
                {
                  "billed_charge": 265.18,
                  "npi": [
                    1205360518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205461019"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 442.0,
                  "npi": [
                    1205461019
                  ]
                }
              ]
            },
            {
              "allowed_amount": 220.44,
              "providers": [
                {
                  "billed_charge": 442.0,
                  "npi": [
                    1205461019
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 535.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265016174"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 299.0,
              "providers": [
                {
                  "billed_charge": 299.0,
                  "npi": [
                    1265016174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265603633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.3,
              "providers": [
                {
                  "billed_charge": 168.3,
                  "npi": [
                    1265603633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265821110"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 503.0,
                  "npi": [
                    1265821110
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285165332"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1285165332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306830641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.2,
              "providers": [
                {
                  "billed_charge": 163.2,
                  "npi": [
                    1306830641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306962246"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1306962246
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306965611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.0,
              "providers": [
                {
                  "billed_charge": 164.0,
                  "npi": [
                    1306965611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316147267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 282.74,
              "providers": [
                {
                  "billed_charge": 282.74,
                  "npi": [
                    1316147267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316433477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1316433477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326049370"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 226.9,
              "providers": [
                {
                  "billed_charge": 322.0,
                  "npi": [
                    1326049370
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326557075"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1326557075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336866029"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.33,
              "providers": [
                {
                  "billed_charge": 403.07,
                  "npi": [
                    1336866029
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356683213"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 231.0,
              "providers": [
                {
                  "billed_charge": 231.0,
                  "npi": [
                    1356683213
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396795241"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1396795241
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417979402"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.24,
              "providers": [
                {
                  "billed_charge": 271.98,
                  "npi": [
                    1417979402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447619291"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1447619291
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457671398"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 245.0,
                  "npi": [
                    1457671398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477066355"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 388.0,
                  "npi": [
                    1477066355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477865681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.5,
              "providers": [
                {
                  "billed_charge": 166.5,
                  "npi": [
                    1477865681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487532719"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1487532719
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497146310"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.18,
              "providers": [
                {
                  "billed_charge": 117.55,
                  "npi": [
                    1497146310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497738504"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 208.83,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1497738504
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497982268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1497982268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528198223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.51,
              "providers": [
                {
                  "billed_charge": 368.0,
                  "npi": [
                    1528198223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548226988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.4,
              "providers": [
                {
                  "billed_charge": 210.4,
                  "npi": [
                    1548226988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548273592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 561.0,
                  "npi": [
                    1548273592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.33,
              "providers": [
                {
                  "billed_charge": 110.33,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558380527"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.91,
              "providers": [
                {
                  "billed_charge": 234.72,
                  "npi": [
                    1558380527
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568100519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.95,
              "providers": [
                {
                  "billed_charge": 2.95,
                  "npi": [
                    1568100519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578564043"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1578564043
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588535421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1588535421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598174807"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.46,
              "providers": [
                {
                  "billed_charge": 287.0,
                  "npi": [
                    1598174807
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598767154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 440.0,
              "providers": [
                {
                  "billed_charge": 440.0,
                  "npi": [
                    1598767154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639154347"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 388.0,
              "providers": [
                {
                  "billed_charge": 388.0,
                  "npi": [
                    1639154347
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649312448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 445.0,
              "providers": [
                {
                  "billed_charge": 450.0,
                  "npi": [
                    1649312448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649884479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.52,
              "providers": [
                {
                  "billed_charge": 100.52,
                  "npi": [
                    1649884479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659472306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.88,
              "providers": [
                {
                  "billed_charge": 119.88,
                  "npi": [
                    1659472306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699221648"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.12,
              "providers": [
                {
                  "billed_charge": 103.12,
                  "npi": [
                    1699221648
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700673571"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 624.0,
                  "npi": [
                    1700673571
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750305355"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 427.38,
              "providers": [
                {
                  "billed_charge": 427.38,
                  "npi": [
                    1750305355
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750565180"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 221.51,
              "providers": [
                {
                  "billed_charge": 221.51,
                  "npi": [
                    1750565180
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780056382"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1780056382
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780780270"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 204.6,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1780780270
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811440035"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1811440035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871589333"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.48,
              "providers": [
                {
                  "billed_charge": 245.0,
                  "npi": [
                    1871589333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982301537"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1982301537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.21,
              "providers": [
                {
                  "billed_charge": 188.21,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1508553728"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1508553728
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558071027"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1558071027
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679848261"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1679848261
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881826337"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1881826337
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063406684"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.05,
              "providers": [
                {
                  "billed_charge": 28.05,
                  "npi": [
                    1063406684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093096638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.53,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1093096638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124650239"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1124650239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235129214"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 458.98,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.52,
              "providers": [
                {
                  "billed_charge": 66.52,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396986295"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.93,
              "providers": [
                {
                  "billed_charge": 20.93,
                  "npi": [
                    1396986295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437135902"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.52,
              "providers": [
                {
                  "billed_charge": 66.52,
                  "npi": [
                    1437135902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538586243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.1,
              "providers": [
                {
                  "billed_charge": 18.35,
                  "npi": [
                    1538586243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649726738"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.99,
              "providers": [
                {
                  "billed_charge": 4.99,
                  "npi": [
                    1649726738
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710952262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.51,
              "providers": [
                {
                  "billed_charge": 14.51,
                  "npi": [
                    1710952262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790376564"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.03,
              "providers": [
                {
                  "billed_charge": 144.03,
                  "npi": [
                    1790376564
                  ]
                },
                {
                  "billed_charge": 438.59,
                  "npi": [
                    1790376564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881583730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 28.0,
                  "npi": [
                    1881583730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912319997"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.97,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1912319997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952870487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1952870487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 489.25,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1154377281"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.85,
              "providers": [
                {
                  "billed_charge": 19.87,
                  "npi": [
                    1154377281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.62,
              "providers": [
                {
                  "billed_charge": 12.62,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255501235"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 42.5,
                  "npi": [
                    1255501235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366479099"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1366479099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407897309"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.95,
              "providers": [
                {
                  "billed_charge": 49.95,
                  "npi": [
                    1407897309
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588656870"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 40.6,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619913449"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1619913449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912643040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.74,
              "providers": [
                {
                  "billed_charge": 7.74,
                  "npi": [
                    1912643040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942636519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1942636519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Blood clotting test",
      "billing_code_type": "CPT",
      "billing_code": "85610",
      "billing_code_type_version": "2026",
      "description": "Blood clotting test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053824292"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1053824292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124073879"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124073879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326275249"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.27,
              "providers": [
                {
                  "billed_charge": 5.27,
                  "npi": [
                    1326275249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467427674"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            },
            {
              "allowed_amount": 5.27,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1467427674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508810573"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 717.62,
                  "npi": [
                    1508810573
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 4.29,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            },
            {
              "allowed_amount": 4.29,
              "providers": [
                {
                  "billed_charge": 4.29,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821011248"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            },
            {
              "allowed_amount": 76.05,
              "providers": [
                {
                  "billed_charge": 76.05,
                  "npi": [
                    1821011248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.27,
              "providers": [
                {
                  "billed_charge": 5.27,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.29,
              "providers": [
                {
                  "billed_charge": 4.29,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942208616"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.15,
              "providers": [
                {
                  "billed_charge": 178.15,
                  "npi": [
                    1942208616
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982666111"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.27,
              "providers": [
                {
                  "billed_charge": 5.27,
                  "npi": [
                    1982666111
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033854658"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1033854658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063733012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 102.22,
                  "npi": [
                    1063733012
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.22,
              "providers": [
                {
                  "billed_charge": 102.22,
                  "npi": [
                    1063733012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215451158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1215451158
                  ]
                },
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1215451158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477747418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1477747418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619640414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1619640414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649864810"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1649864810
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659468908"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 214.4,
                  "npi": [
                    1659468908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699010348"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 214.4,
                  "npi": [
                    1699010348
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699550004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1699550004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740029081"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1740029081
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750096814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1750096814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for testosterone test",
      "billing_code_type": "CPT",
      "billing_code": "84403",
      "billing_code_type_version": "2026",
      "description": "Lab fee for testosterone test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013462787"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1013462787
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043925803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043925803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 34.88,
                  "npi": [
                    1194769497
                  ]
                },
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.26,
              "providers": [
                {
                  "billed_charge": 32.26,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 33.19,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285014282"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 33.19,
                  "npi": [
                    1285014282
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508393208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 41.0,
                  "npi": [
                    1508393208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 33.19,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.16,
              "providers": [
                {
                  "billed_charge": 8.16,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679502959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.16,
              "providers": [
                {
                  "billed_charge": 17.16,
                  "npi": [
                    1679502959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720306566"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1720306566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770697104"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.74,
              "providers": [
                {
                  "billed_charge": 11.74,
                  "npi": [
                    1770697104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 33.19,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.22,
              "providers": [
                {
                  "billed_charge": 11.22,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.43,
              "providers": [
                {
                  "billed_charge": 19.43,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467552471"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1467552471
                  ]
                },
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1467552471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 79.33,
              "providers": [
                {
                  "billed_charge": 79.33,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700950060"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1700950060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.32,
              "providers": [
                {
                  "billed_charge": 6.32,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083111041"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1083111041
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144084856"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 101.0,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1144084856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184630451"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 238.0,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1184630451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194168252"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 146.8,
              "providers": [
                {
                  "billed_charge": 248.8,
                  "npi": [
                    1194168252
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215369715"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1215369715
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 320.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235543620"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 386.0,
                  "npi": [
                    1235543620
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235857293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1235857293
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.58,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1235857293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245475771"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 400.0,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 57.51,
              "providers": [
                {
                  "billed_charge": 57.51,
                  "npi": [
                    1245475771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245731298"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.0,
              "providers": [
                {
                  "billed_charge": 249.0,
                  "npi": [
                    1245731298
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255038808"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 345.0,
              "providers": [
                {
                  "billed_charge": 345.0,
                  "npi": [
                    1255038808
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285419853"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1285419853
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316253107"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.73,
              "providers": [
                {
                  "billed_charge": 40.73,
                  "npi": [
                    1316253107
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316328016"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1316328016
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437578879"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1437578879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467673418"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1467673418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477265718"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 232.33,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1477265718
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578590311"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1578590311
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598629362"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.5,
              "providers": [
                {
                  "billed_charge": 91.5,
                  "npi": [
                    1598629362
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598907891"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.44,
              "providers": [
                {
                  "billed_charge": 174.3,
                  "npi": [
                    1598907891
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669660783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.56,
              "providers": [
                {
                  "billed_charge": 49.56,
                  "npi": [
                    1669660783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700809159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1700809159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750996070"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 76.61,
              "providers": [
                {
                  "billed_charge": 76.61,
                  "npi": [
                    1750996070
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790834265"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 116.0,
              "providers": [
                {
                  "billed_charge": 116.0,
                  "npi": [
                    1790834265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821208786"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 191.18,
              "providers": [
                {
                  "billed_charge": 192.0,
                  "npi": [
                    1821208786
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831318187"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.15,
              "providers": [
                {
                  "billed_charge": 65.15,
                  "npi": [
                    1831318187
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831546803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1831546803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851492672"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.0,
              "providers": [
                {
                  "billed_charge": 223.65,
                  "npi": [
                    1851492672
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891209797"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1891209797
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891745212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 235.0,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            },
            {
              "allowed_amount": 129.25,
              "providers": [
                {
                  "billed_charge": 129.25,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922627157"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1922627157
                  ]
                }
              ]
            },
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1922627157
                  ]
                }
              ]
            },
            {
              "allowed_amount": 273.0,
              "providers": [
                {
                  "billed_charge": 273.0,
                  "npi": [
                    1922627157
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982352357"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.85,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1982352357
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982902557"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 171.36,
                  "npi": [
                    1982902557
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Mammogram",
      "billing_code_type": "CPT",
      "billing_code": "77067",
      "billing_code_type_version": "2026",
      "description": "Mammogram",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 446.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 221.32,
              "providers": [
                {
                  "billed_charge": 446.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073512174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.65,
              "providers": [
                {
                  "billed_charge": 71.65,
                  "npi": [
                    1073512174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 93.69,
              "providers": [
                {
                  "billed_charge": 93.69,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            },
            {
              "allowed_amount": 187.38,
              "providers": [
                {
                  "billed_charge": 187.38,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164519393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 212.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1164519393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184626285"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1184626285
                  ]
                }
              ]
            },
            {
              "allowed_amount": 160.55,
              "providers": [
                {
                  "billed_charge": 160.55,
                  "npi": [
                    1184626285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215907522"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.91,
              "providers": [
                {
                  "billed_charge": 181.91,
                  "npi": [
                    1215907522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1255377149
                  ]
                },
                {
                  "billed_charge": 247.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265500953"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1265500953
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1447259379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548618978"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.55,
              "providers": [
                {
                  "billed_charge": 160.55,
                  "npi": [
                    1548618978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.55,
              "providers": [
                {
                  "billed_charge": 160.55,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609366863"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.08,
              "providers": [
                {
                  "billed_charge": 140.08,
                  "npi": [
                    1609366863
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 197.6,
              "providers": [
                {
                  "billed_charge": 197.6,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            },
            {
              "allowed_amount": 255.83,
              "providers": [
                {
                  "billed_charge": 395.85,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 229.02,
              "providers": [
                {
                  "billed_charge": 229.02,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912184045"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.7,
              "providers": [
                {
                  "billed_charge": 135.7,
                  "npi": [
                    1912184045
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956814"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.59,
              "providers": [
                {
                  "billed_charge": 38.59,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            },
            {
              "allowed_amount": 59.66,
              "providers": [
                {
                  "billed_charge": 77.18,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932240801"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 129.0,
                  "npi": [
                    1932240801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982784534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 117.0,
              "providers": [
                {
                  "billed_charge": 117.0,
                  "npi": [
                    1982784534
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Magnesium test",
      "billing_code_type": "CPT",
      "billing_code": "83735",
      "billing_code_type_version": "2026",
      "description": "Magnesium test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1215960901"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 27.52,
                  "npi": [
                    1215960901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 8.62,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497850275"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1497850275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568562551"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609189604"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1609189604
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.7,
              "providers": [
                {
                  "billed_charge": 6.7,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.77,
              "providers": [
                {
                  "billed_charge": 42.77,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.7,
              "providers": [
                {
                  "billed_charge": 6.7,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.7,
              "providers": [
                {
                  "billed_charge": 6.7,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 18.43,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912007931"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 16.0,
                  "npi": [
                    1912007931
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982728036"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 21.16,
                  "npi": [
                    1982728036
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083874119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.6,
              "providers": [
                {
                  "billed_charge": 93.53,
                  "npi": [
                    1083874119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386980837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.73,
              "providers": [
                {
                  "billed_charge": 6.14,
                  "npi": [
                    1386980837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417316159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1417316159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427895200"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 24.9,
                  "npi": [
                    1427895200
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 19.64,
                  "npi": [
                    1467420448
                  ]
                },
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588640692"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1588640692
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679599088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 24.08,
                  "npi": [
                    1679599088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689610149"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1689610149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770552234"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1770552234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811982770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811982770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Add on for mammogram: 3D tomosynthesis",
      "billing_code_type": "CPT",
      "billing_code": "77063",
      "billing_code_type_version": "2026",
      "description": "Add on for mammogram: 3D tomosynthesis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023171634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.0,
              "providers": [
                {
                  "billed_charge": 53.0,
                  "npi": [
                    1023171634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270564"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.21,
              "providers": [
                {
                  "billed_charge": 112.57,
                  "npi": [
                    1043270564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1063453991
                  ]
                },
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.82,
              "providers": [
                {
                  "billed_charge": 33.82,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063466035"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1063466035
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073129623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.09,
              "providers": [
                {
                  "billed_charge": 73.15,
                  "npi": [
                    1073129623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114263456"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1114263456
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1114263456
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144256447"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1144256447
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.49,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1144256447
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1144256447
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154314789"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1154314789
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154703197"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1154703197
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164478186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1164478186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366495988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 312.0,
                  "npi": [
                    1366495988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407886120"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1407886120
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427016161"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.52,
              "providers": [
                {
                  "billed_charge": 25.52,
                  "npi": [
                    1427016161
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467406132"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.65,
              "providers": [
                {
                  "billed_charge": 90.34,
                  "npi": [
                    1467406132
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.8,
              "providers": [
                {
                  "billed_charge": 96.8,
                  "npi": [
                    1467406132
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528027240"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.4,
                  "npi": [
                    1528027240
                  ]
                },
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1528027240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538114442"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.93,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1538114442
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568705267"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 83.49,
                  "npi": [
                    1568705267
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1568705267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598260515"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.45,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1598260515
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.46,
              "providers": [
                {
                  "billed_charge": 43.46,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            },
            {
              "allowed_amount": 178.92,
              "providers": [
                {
                  "billed_charge": 178.92,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942972344"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.65,
              "providers": [
                {
                  "billed_charge": 38.65,
                  "npi": [
                    1942972344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972004489"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.61,
              "providers": [
                {
                  "billed_charge": 65.61,
                  "npi": [
                    1972004489
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin b12",
      "billing_code_type": "CPT",
      "billing_code": "82607",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin b12",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.38,
              "providers": [
                {
                  "billed_charge": 19.38,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.8,
              "providers": [
                {
                  "billed_charge": 32.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.6,
              "providers": [
                {
                  "billed_charge": 19.6,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.8,
              "providers": [
                {
                  "billed_charge": 32.8,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.7,
              "providers": [
                {
                  "billed_charge": 37.7,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 81.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.57,
              "providers": [
                {
                  "billed_charge": 13.57,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.38,
              "providers": [
                {
                  "billed_charge": 19.38,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.4,
              "providers": [
                {
                  "billed_charge": 34.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245283993"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 51.2,
                  "npi": [
                    1245283993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.13,
              "providers": [
                {
                  "billed_charge": 30.13,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 97.42,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.88,
              "providers": [
                {
                  "billed_charge": 46.06,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043641897"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043641897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063457380"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1063457380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356366991"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1356366991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457146250"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.45,
              "providers": [
                {
                  "billed_charge": 10.45,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841264868"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1841264868
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992738959"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 11.52,
                  "npi": [
                    1992738959
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1336596550"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1336596550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447845011"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1447845011
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508516634"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1508516634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619308087"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1619308087
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700444593"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1700444593
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992226807"
          },
          "service_code": [
            "11",
            "99"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1992226807
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hematology oncologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Hematology oncologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023908977"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.95,
              "providers": [
                {
                  "billed_charge": 357.0,
                  "npi": [
                    1023908977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073575288"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.11,
              "providers": [
                {
                  "billed_charge": 72.11,
                  "npi": [
                    1073575288
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073649885"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.72,
              "providers": [
                {
                  "billed_charge": 125.72,
                  "npi": [
                    1073649885
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093750176"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1093750176
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144558404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 275.0,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1144558404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164687885"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 47.96,
              "providers": [
                {
                  "billed_charge": 47.96,
                  "npi": [
                    1164687885
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235470329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.11,
              "providers": [
                {
                  "billed_charge": 72.11,
                  "npi": [
                    1235470329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255401519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.7,
              "providers": [
                {
                  "billed_charge": 80.7,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407099286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.36,
              "providers": [
                {
                  "billed_charge": 308.0,
                  "npi": [
                    1407099286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407947625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.98,
              "providers": [
                {
                  "billed_charge": 213.09,
                  "npi": [
                    1407947625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487899464"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.68,
              "providers": [
                {
                  "billed_charge": 291.6,
                  "npi": [
                    1487899464
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497013353"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.7,
              "providers": [
                {
                  "billed_charge": 80.7,
                  "npi": [
                    1497013353
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538756119"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.55,
              "providers": [
                {
                  "billed_charge": 206.25,
                  "npi": [
                    1538756119
                  ]
                }
              ]
            },
            {
              "allowed_amount": 206.25,
              "providers": [
                {
                  "billed_charge": 206.25,
                  "npi": [
                    1538756119
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558516997"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 151.35,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1558516997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568021038"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1568021038
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578954681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1578954681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699868265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 133.55,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1699868265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700851649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 365.0,
                  "npi": [
                    1700851649
                  ]
                }
              ]
            },
            {
              "allowed_amount": 157.34,
              "providers": [
                {
                  "billed_charge": 365.0,
                  "npi": [
                    1700851649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710492095"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 330.0,
              "providers": [
                {
                  "billed_charge": 330.0,
                  "npi": [
                    1710492095
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720224850"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1720224850
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760052849"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1760052849
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790733244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.23,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1790733244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811518327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1811518327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891227302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 233.0,
              "providers": [
                {
                  "billed_charge": 233.0,
                  "npi": [
                    1891227302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891737532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.28,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1891737532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922566249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.72,
              "providers": [
                {
                  "billed_charge": 206.72,
                  "npi": [
                    1922566249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952425159"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1952425159
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952995235"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1952995235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962948414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.7,
              "providers": [
                {
                  "billed_charge": 80.7,
                  "npi": [
                    1962948414
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033772421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.19,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1033772421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083421531"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.14,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1083421531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275005340"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1275005340
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497487151"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1497487151
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1497487151
                  ]
                }
              ]
            },
            {
              "allowed_amount": 270.0,
              "providers": [
                {
                  "billed_charge": 270.0,
                  "npi": [
                    1497487151
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780136267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.19,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1780136267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.85,
              "providers": [
                {
                  "billed_charge": 91.85,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.14,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1285991414"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.25,
              "providers": [
                {
                  "billed_charge": 21.25,
                  "npi": [
                    1285991414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.79,
              "providers": [
                {
                  "billed_charge": 23.79,
                  "npi": [
                    1285991414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.83,
              "providers": [
                {
                  "billed_charge": 33.83,
                  "npi": [
                    1285991414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 37.18,
              "providers": [
                {
                  "billed_charge": 37.18,
                  "npi": [
                    1285991414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.75,
              "providers": [
                {
                  "billed_charge": 42.75,
                  "npi": [
                    1285991414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.59,
              "providers": [
                {
                  "billed_charge": 47.59,
                  "npi": [
                    1285991414
                  ]
                }
              ]
            },
            {
              "allowed_amount": 47.6,
              "providers": [
                {
                  "billed_charge": 47.6,
                  "npi": [
                    1285991414
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.9,
              "providers": [
                {
                  "billed_charge": 175.24,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            },
            {
              "allowed_amount": 131.8,
              "providers": [
                {
                  "billed_charge": 350.48,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.24,
              "providers": [
                {
                  "billed_charge": 175.24,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            },
            {
              "allowed_amount": 350.48,
              "providers": [
                {
                  "billed_charge": 350.48,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396178620"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.42,
              "providers": [
                {
                  "billed_charge": 32.42,
                  "npi": [
                    1396178620
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457379448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 212.0,
                  "npi": [
                    1457379448
                  ]
                },
                {
                  "billed_charge": 318.0,
                  "npi": [
                    1457379448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548289697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.63,
              "providers": [
                {
                  "billed_charge": 42.63,
                  "npi": [
                    1548289697
                  ]
                }
              ]
            },
            {
              "allowed_amount": 45.62,
              "providers": [
                {
                  "billed_charge": 45.62,
                  "npi": [
                    1548289697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.01,
              "providers": [
                {
                  "billed_charge": 76.64,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 59.45,
              "providers": [
                {
                  "billed_charge": 59.45,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 76.64,
              "providers": [
                {
                  "billed_charge": 76.64,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.02,
              "providers": [
                {
                  "billed_charge": 136.1,
                  "npi": [
                    1902839673
                  ]
                },
                {
                  "billed_charge": 153.29,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 118.91,
              "providers": [
                {
                  "billed_charge": 118.91,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 123.03,
              "providers": [
                {
                  "billed_charge": 195.55,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.1,
              "providers": [
                {
                  "billed_charge": 136.1,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 153.29,
              "providers": [
                {
                  "billed_charge": 153.29,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 229.93,
              "providers": [
                {
                  "billed_charge": 229.93,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003863580"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.2,
              "providers": [
                {
                  "billed_charge": 13.2,
                  "npi": [
                    1003863580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144238908"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1144238908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.73,
              "providers": [
                {
                  "billed_charge": 13.73,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235196510"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 685.0,
                  "npi": [
                    1235196510
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1235196510
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255501235"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 19.0,
                  "npi": [
                    1255501235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265539498"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1265539498
                  ]
                },
                {
                  "billed_charge": 136.79,
                  "npi": [
                    1265539498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285424879"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1285424879
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.31,
              "providers": [
                {
                  "billed_charge": 39.75,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326006438"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 44.25,
                  "npi": [
                    1326006438
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336396407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.83,
              "providers": [
                {
                  "billed_charge": 15.83,
                  "npi": [
                    1336396407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346561677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1346561677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396001780"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 173.6,
              "providers": [
                {
                  "billed_charge": 173.6,
                  "npi": [
                    1396001780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427068345"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1427068345
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1427068345
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427098169"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 329.0,
                  "npi": [
                    1427098169
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467738252"
          },
          "service_code": [
            "81",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.66,
              "providers": [
                {
                  "billed_charge": 13.66,
                  "npi": [
                    1467738252
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477531580"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 496.0,
                  "npi": [
                    1477531580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518903350"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1518903350
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528078581"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 95.82,
                  "npi": [
                    1528078581
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578620449"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1578620449
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588656870"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 47.2,
                  "npi": [
                    1588656870
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639711294"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1639711294
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1639711294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740348929"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 386.0,
                  "npi": [
                    1740348929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811005150"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1811005150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912643040"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.99,
              "providers": [
                {
                  "billed_charge": 8.99,
                  "npi": [
                    1912643040
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942636519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.0,
              "providers": [
                {
                  "billed_charge": 121.0,
                  "npi": [
                    1942636519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972001469"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1972001469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992812333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            },
            {
              "allowed_amount": 102.0,
              "providers": [
                {
                  "billed_charge": 102.0,
                  "npi": [
                    1992812333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.9,
              "providers": [
                {
                  "billed_charge": 7.9,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043740244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.2,
              "providers": [
                {
                  "billed_charge": 99.2,
                  "npi": [
                    1043740244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114957123"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1114957123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316607104"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.65,
              "providers": [
                {
                  "billed_charge": 106.65,
                  "npi": [
                    1316607104
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366248908"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.91,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1366248908
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457716706"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 174.99,
              "providers": [
                {
                  "billed_charge": 306.0,
                  "npi": [
                    1457716706
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679721906"
          },
          "service_code": [
            "53"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 134.5,
                  "npi": [
                    1679721906
                  ]
                }
              ]
            },
            {
              "allowed_amount": 134.5,
              "providers": [
                {
                  "billed_charge": 134.5,
                  "npi": [
                    1679721906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801995915"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1801995915
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821168535"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.52,
              "providers": [
                {
                  "billed_charge": 106.52,
                  "npi": [
                    1821168535
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871362483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1871362483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942083332"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1942083332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982119616"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982119616
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to detect virus by multiple-step immunofluorescent technique",
      "billing_code_type": "CPT",
      "billing_code": "87389",
      "billing_code_type_version": "2026",
      "description": "Lab fee to detect virus by multiple-step immunofluorescent technique",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.18,
              "providers": [
                {
                  "billed_charge": 54.18,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.18,
              "providers": [
                {
                  "billed_charge": 54.18,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure total prostate specific antigen (psa)",
      "billing_code_type": "CPT",
      "billing_code": "84153",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure total prostate specific antigen (psa)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134787625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1134787625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164590576"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1164590576
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 118.75,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245250646"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 109.0,
                  "npi": [
                    1245250646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558803486"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1558803486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740262880"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 23.65,
                  "npi": [
                    1740262880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.39,
              "providers": [
                {
                  "billed_charge": 18.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932256526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.65,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1932256526
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure iron binding capacity",
      "billing_code_type": "CPT",
      "billing_code": "83550",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure iron binding capacity",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245764281"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.32,
              "providers": [
                {
                  "billed_charge": 93.6,
                  "npi": [
                    1245764281
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275280125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.2,
              "providers": [
                {
                  "billed_charge": 19.2,
                  "npi": [
                    1275280125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.67,
              "providers": [
                {
                  "billed_charge": 19.67,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.67,
              "providers": [
                {
                  "billed_charge": 19.67,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for chest x-ray",
      "billing_code_type": "CPT",
      "billing_code": "71045",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for chest x-ray",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1437196979"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.44,
              "providers": [
                {
                  "billed_charge": 202.0,
                  "npi": [
                    1437196979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.72,
              "providers": [
                {
                  "billed_charge": 18.72,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861439952"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.44,
              "providers": [
                {
                  "billed_charge": 19.44,
                  "npi": [
                    1861439952
                  ]
                },
                {
                  "billed_charge": 202.0,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956814"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.95,
              "providers": [
                {
                  "billed_charge": 18.41,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.41,
              "providers": [
                {
                  "billed_charge": 18.41,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ophthalmologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Ophthalmologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1083839930"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 599.3,
              "providers": [
                {
                  "billed_charge": 611.3,
                  "npi": [
                    1083839930
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093175770"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.0,
              "providers": [
                {
                  "billed_charge": 169.0,
                  "npi": [
                    1093175770
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144276452"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 540.0,
                  "npi": [
                    1144276452
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184709057"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.4,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1184709057
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215607502"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.75,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1215607502
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245520154"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1245520154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265713903"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1265713903
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396946208"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.73,
              "providers": [
                {
                  "billed_charge": 80.73,
                  "npi": [
                    1396946208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477229946"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.39,
              "providers": [
                {
                  "billed_charge": 100.39,
                  "npi": [
                    1477229946
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508185612"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.08,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1508185612
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609323732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.4,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1609323732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629025820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 389.1,
                  "npi": [
                    1629025820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629216528"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1629216528
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699019315"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1699019315
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720282106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.5,
              "providers": [
                {
                  "billed_charge": 88.5,
                  "npi": [
                    1720282106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790897304"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1790897304
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.5,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891160859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.53,
              "providers": [
                {
                  "billed_charge": 197.9,
                  "npi": [
                    1891160859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902674344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 163.12,
              "providers": [
                {
                  "billed_charge": 275.0,
                  "npi": [
                    1902674344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912907122"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.79,
              "providers": [
                {
                  "billed_charge": 18.79,
                  "npi": [
                    1912907122
                  ]
                }
              ]
            },
            {
              "allowed_amount": 94.46,
              "providers": [
                {
                  "billed_charge": 94.46,
                  "npi": [
                    1912907122
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962479493"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.74,
              "providers": [
                {
                  "billed_charge": 64.74,
                  "npi": [
                    1962479493
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982381299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 381.0,
                  "npi": [
                    1982381299
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1164014874"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1164014874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174225247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.66,
              "providers": [
                {
                  "billed_charge": 81.66,
                  "npi": [
                    1174225247
                  ]
                }
              ]
            },
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1174225247
                  ]
                }
              ]
            },
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1174225247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225427537"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1225427537
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235857293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235857293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.0,
              "providers": [
                {
                  "billed_charge": 154.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285824425"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1285824425
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366215279"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1366215279
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477335727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.0,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1477335727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639914625"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1639914625
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699978411"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1699978411
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720611544"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 193.0,
                  "npi": [
                    1720611544
                  ]
                }
              ]
            },
            {
              "allowed_amount": 354.0,
              "providers": [
                {
                  "billed_charge": 386.0,
                  "npi": [
                    1720611544
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740041441"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1740041441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760737092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1760737092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932921400"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1932921400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942327598"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1942327598
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992439509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1992439509
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Magnesium test",
      "billing_code_type": "CPT",
      "billing_code": "83735",
      "billing_code_type_version": "2026",
      "description": "Magnesium test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083698534"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 8.62,
                  "npi": [
                    1083698534
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.8,
              "providers": [
                {
                  "billed_charge": 12.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.75,
              "providers": [
                {
                  "billed_charge": 16.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467433763
                  ]
                },
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                },
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790751253"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 39.76,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.45,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1790751253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.77,
              "providers": [
                {
                  "billed_charge": 42.77,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.62,
              "providers": [
                {
                  "billed_charge": 8.62,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.0,
              "providers": [
                {
                  "billed_charge": 14.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Blood clotting test",
      "billing_code_type": "CPT",
      "billing_code": "85610",
      "billing_code_type_version": "2026",
      "description": "Blood clotting test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 53.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.2,
              "providers": [
                {
                  "billed_charge": 21.2,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.2,
              "providers": [
                {
                  "billed_charge": 7.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.05,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659631554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.2,
              "providers": [
                {
                  "billed_charge": 7.2,
                  "npi": [
                    1659631554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740288471"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1740288471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.79,
              "providers": [
                {
                  "billed_charge": 26.79,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063815421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.28,
              "providers": [
                {
                  "billed_charge": 140.28,
                  "npi": [
                    1063815421
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174262232"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1174262232
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205899820"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 270.04,
                  "npi": [
                    1205899820
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245908805"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.5,
              "providers": [
                {
                  "billed_charge": 127.5,
                  "npi": [
                    1245908805
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285735605"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1285735605
                  ]
                }
              ]
            },
            {
              "allowed_amount": 201.37,
              "providers": [
                {
                  "billed_charge": 289.0,
                  "npi": [
                    1285735605
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306545751"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1306545751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588086060"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 452.93,
              "providers": [
                {
                  "billed_charge": 452.93,
                  "npi": [
                    1588086060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588090633"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1588090633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629506779"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 248.0,
              "providers": [
                {
                  "billed_charge": 248.0,
                  "npi": [
                    1629506779
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720398456"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 298.0,
                  "npi": [
                    1720398456
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740820653"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1740820653
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750626495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 255.0,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            },
            {
              "allowed_amount": 127.5,
              "providers": [
                {
                  "billed_charge": 127.5,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760438535"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.93,
              "providers": [
                {
                  "billed_charge": 185.93,
                  "npi": [
                    1760438535
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790056877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1790056877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861400103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.93,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1861400103
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861472706"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.84,
              "providers": [
                {
                  "billed_charge": 179.31,
                  "npi": [
                    1861472706
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942553821"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1942553821
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972809275"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 189.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1972809275
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee to remove benign lesion",
      "billing_code_type": "CPT",
      "billing_code": "17110",
      "billing_code_type_version": "2026",
      "description": "Provider fee to remove benign lesion",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.63,
              "providers": [
                {
                  "billed_charge": 155.63,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.04,
              "providers": [
                {
                  "billed_charge": 172.04,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 202.4,
              "providers": [
                {
                  "billed_charge": 202.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154506483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.49,
              "providers": [
                {
                  "billed_charge": 141.77,
                  "npi": [
                    1154506483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215968896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 155.63,
              "providers": [
                {
                  "billed_charge": 155.63,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 266.0,
              "providers": [
                {
                  "billed_charge": 266.0,
                  "npi": [
                    1215968896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386688364"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.63,
              "providers": [
                {
                  "billed_charge": 155.63,
                  "npi": [
                    1386688364
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437181203"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1437181203
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588664296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.07,
              "providers": [
                {
                  "billed_charge": 106.07,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            },
            {
              "allowed_amount": 202.5,
              "providers": [
                {
                  "billed_charge": 202.5,
                  "npi": [
                    1588664296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.36,
              "providers": [
                {
                  "billed_charge": 207.5,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962578393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.79,
              "providers": [
                {
                  "billed_charge": 90.79,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 159.52,
              "providers": [
                {
                  "billed_charge": 166.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 165.5,
              "providers": [
                {
                  "billed_charge": 165.5,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            },
            {
              "allowed_amount": 166.0,
              "providers": [
                {
                  "billed_charge": 166.0,
                  "npi": [
                    1962578393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for adaptive behavior treatment",
      "billing_code_type": "CPT",
      "billing_code": "97153",
      "billing_code_type_version": "2026",
      "description": "Provider fee for adaptive behavior treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1124577192"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 480.0,
              "providers": [
                {
                  "billed_charge": 480.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 510.0,
              "providers": [
                {
                  "billed_charge": 510.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 600.0,
              "providers": [
                {
                  "billed_charge": 600.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 750.0,
              "providers": [
                {
                  "billed_charge": 750.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 780.0,
              "providers": [
                {
                  "billed_charge": 780.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 810.0,
              "providers": [
                {
                  "billed_charge": 810.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 840.0,
              "providers": [
                {
                  "billed_charge": 840.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 870.0,
              "providers": [
                {
                  "billed_charge": 870.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            },
            {
              "allowed_amount": 900.0,
              "providers": [
                {
                  "billed_charge": 900.0,
                  "npi": [
                    1124577192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477717346"
          },
          "service_code": [
            "99",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 137.5,
              "providers": [
                {
                  "billed_charge": 137.5,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.5,
              "providers": [
                {
                  "billed_charge": 162.5,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 300.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 312.5,
              "providers": [
                {
                  "billed_charge": 312.5,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            },
            {
              "allowed_amount": 325.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1477717346
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Dermatologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Dermatologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043557853"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 271.0,
                  "npi": [
                    1043557853
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043904584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1043904584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063463768"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 540.0,
                  "npi": [
                    1063463768
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114905312"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.05,
              "providers": [
                {
                  "billed_charge": 135.05,
                  "npi": [
                    1114905312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154817302"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1154817302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174192843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1174192843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1174920896"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1174920896
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1174920896
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225592561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 345.0,
              "providers": [
                {
                  "billed_charge": 345.0,
                  "npi": [
                    1225592561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235935263"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.99,
              "providers": [
                {
                  "billed_charge": 99.99,
                  "npi": [
                    1235935263
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265162192"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.0,
              "providers": [
                {
                  "billed_charge": 149.0,
                  "npi": [
                    1265162192
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275728248"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.77,
              "providers": [
                {
                  "billed_charge": 71.77,
                  "npi": [
                    1275728248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306814694"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 153.0,
              "providers": [
                {
                  "billed_charge": 153.0,
                  "npi": [
                    1306814694
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346244100"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.44,
              "providers": [
                {
                  "billed_charge": 84.44,
                  "npi": [
                    1346244100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376084541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.6,
              "providers": [
                {
                  "billed_charge": 210.6,
                  "npi": [
                    1376084541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437125002"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1437125002
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457154585"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1457154585
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508122854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1508122854
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508817529"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 338.0,
                  "npi": [
                    1508817529
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558717595"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.36,
              "providers": [
                {
                  "billed_charge": 329.6,
                  "npi": [
                    1558717595
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639280233"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.03,
              "providers": [
                {
                  "billed_charge": 259.03,
                  "npi": [
                    1639280233
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659828994"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1659828994
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710251921"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 217.0,
                  "npi": [
                    1710251921
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710923727"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1710923727
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720286594"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.4,
              "providers": [
                {
                  "billed_charge": 203.4,
                  "npi": [
                    1720286594
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750619474"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1750619474
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780497776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1780497776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811122880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 280.5,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            },
            {
              "allowed_amount": 169.0,
              "providers": [
                {
                  "billed_charge": 169.0,
                  "npi": [
                    1811122880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821036641"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.47,
              "providers": [
                {
                  "billed_charge": 170.47,
                  "npi": [
                    1821036641
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912922469"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.62,
              "providers": [
                {
                  "billed_charge": 84.62,
                  "npi": [
                    1912922469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972255917"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1972255917
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Electrical stimulation therapy",
      "billing_code_type": "CPT",
      "billing_code": "97014",
      "billing_code_type_version": "2026",
      "description": "Electrical stimulation therapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1184771255"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1184771255
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225436470"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1225436470
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700363686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.58,
              "providers": [
                {
                  "billed_charge": 11.58,
                  "npi": [
                    1700363686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.0,
              "providers": [
                {
                  "billed_charge": 17.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962669275"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 14.45,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.58,
              "providers": [
                {
                  "billed_charge": 11.58,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.5,
              "providers": [
                {
                  "billed_charge": 14.46,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 14.71,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 14.97,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 15.18,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 15.19,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 20.53,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 21.51,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 24.06,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure free thyroxine",
      "billing_code_type": "CPT",
      "billing_code": "84439",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure free thyroxine",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114355260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114355260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124465588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 21.46,
                  "npi": [
                    1124465588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164788790"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 48.3,
                  "npi": [
                    1164788790
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528056066"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1528056066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 11.59,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588315675"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.97,
              "providers": [
                {
                  "billed_charge": 16.97,
                  "npi": [
                    1588315675
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982904033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.92,
              "providers": [
                {
                  "billed_charge": 3.92,
                  "npi": [
                    1982904033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for blood test checking for virus antibody",
      "billing_code_type": "CPT",
      "billing_code": "86762",
      "billing_code_type_version": "2026",
      "description": "Lab fee for blood test checking for virus antibody",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.38,
              "providers": [
                {
                  "billed_charge": 32.38,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023050101"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 229.95,
                  "npi": [
                    1023050101
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154386431"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1154386431
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225034333"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1225034333
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.2,
              "providers": [
                {
                  "billed_charge": 13.2,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255401519"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.89,
              "providers": [
                {
                  "billed_charge": 137.89,
                  "npi": [
                    1255401519
                  ]
                },
                {
                  "billed_charge": 146.78,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.77,
              "providers": [
                {
                  "billed_charge": 146.77,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 146.78,
              "providers": [
                {
                  "billed_charge": 146.78,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            },
            {
              "allowed_amount": 207.98,
              "providers": [
                {
                  "billed_charge": 207.98,
                  "npi": [
                    1255401519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427093285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1427093285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598142895"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.35,
              "providers": [
                {
                  "billed_charge": 15.84,
                  "npi": [
                    1598142895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609001312"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.45,
              "providers": [
                {
                  "billed_charge": 30.45,
                  "npi": [
                    1609001312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689744450"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 401.8,
              "providers": [
                {
                  "billed_charge": 401.8,
                  "npi": [
                    1689744450
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700851649"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 430.0,
                  "npi": [
                    1700851649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811518327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1811518327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841209012"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1841209012
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 139.78,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Psychiatrist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Psychiatrist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.99,
              "providers": [
                {
                  "billed_charge": 115.99,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598821175"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 126.0,
              "providers": [
                {
                  "billed_charge": 126.0,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            },
            {
              "allowed_amount": 136.31,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            },
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1598821175
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [
            "22",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 57.51,
              "providers": [
                {
                  "billed_charge": 57.51,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 60.6,
              "providers": [
                {
                  "billed_charge": 60.6,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.21,
              "providers": [
                {
                  "billed_charge": 148.92,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649921834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.72,
              "providers": [
                {
                  "billed_charge": 110.72,
                  "npi": [
                    1649921834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689835415"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1689835415
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.46,
              "providers": [
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1710920327
                  ]
                },
                {
                  "billed_charge": 168.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962501627"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1962501627
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure free thyroxine",
      "billing_code_type": "CPT",
      "billing_code": "84439",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure free thyroxine",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053824292"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 257.0,
                  "npi": [
                    1053824292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124067558"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.3,
              "providers": [
                {
                  "billed_charge": 13.58,
                  "npi": [
                    1124067558
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235186800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.28,
              "providers": [
                {
                  "billed_charge": 11.28,
                  "npi": [
                    1235186800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 11.59,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 108.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 11.59,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336100858"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.6,
              "providers": [
                {
                  "billed_charge": 5.6,
                  "npi": [
                    1336100858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407971856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1407971856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417113077"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 267.0,
                  "npi": [
                    1417113077
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 11.59,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538509278"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1538509278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598784720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 53.25,
                  "npi": [
                    1598784720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609812445"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1609812445
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.1,
              "providers": [
                {
                  "billed_charge": 11.1,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760488936"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1760488936
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790159895"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.21,
              "providers": [
                {
                  "billed_charge": 19.75,
                  "npi": [
                    1790159895
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881679751"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 11.59,
                  "npi": [
                    1881679751
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992375000"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1992375000
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063030252"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 213.68,
              "providers": [
                {
                  "billed_charge": 213.68,
                  "npi": [
                    1063030252
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124259478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1124259478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255307732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.21,
              "providers": [
                {
                  "billed_charge": 84.21,
                  "npi": [
                    1255307732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295914646"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 193.58,
              "providers": [
                {
                  "billed_charge": 193.58,
                  "npi": [
                    1295914646
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376175240"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.6,
              "providers": [
                {
                  "billed_charge": 85.6,
                  "npi": [
                    1376175240
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396724217"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 220.0,
                  "npi": [
                    1396724217
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407886674"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1407886674
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437860061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1437860061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457465858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1457465858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477729572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.25,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1477729572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497859649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 323.0,
                  "npi": [
                    1497859649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            },
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            },
            {
              "allowed_amount": 196.0,
              "providers": [
                {
                  "billed_charge": 196.0,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629446125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.24,
              "providers": [
                {
                  "billed_charge": 42.24,
                  "npi": [
                    1629446125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639165145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 169.17,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1639165145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 227.2,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699705681"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1699705681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790123248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 206.25,
              "providers": [
                {
                  "billed_charge": 206.25,
                  "npi": [
                    1790123248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.28,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure insulin",
      "billing_code_type": "CPT",
      "billing_code": "83525",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure insulin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.8,
              "providers": [
                {
                  "billed_charge": 24.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.72,
              "providers": [
                {
                  "billed_charge": 25.72,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.72,
              "providers": [
                {
                  "billed_charge": 25.72,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.43,
              "providers": [
                {
                  "billed_charge": 11.43,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134508260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 122.5,
              "providers": [
                {
                  "billed_charge": 122.5,
                  "npi": [
                    1134508260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194773317"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 222.98,
                  "npi": [
                    1194773317
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265503536"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1265503536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265904304"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1265904304
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275209496"
          },
          "service_code": [
            "02",
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1275209496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295309607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1295309607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407808827"
          },
          "service_code": [
            "02",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 69.74,
                  "npi": [
                    1407808827
                  ]
                },
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1407808827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427496876"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1427496876
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942742531"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1942742531
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982834974"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1982834974
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053339507"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1053339507
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.4,
              "providers": [
                {
                  "billed_charge": 34.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.42,
              "providers": [
                {
                  "billed_charge": 53.95,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326795360"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.64,
              "providers": [
                {
                  "billed_charge": 54.64,
                  "npi": [
                    1326795360
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 61.01,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467675629"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 18.31,
                  "npi": [
                    1467675629
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.05,
              "providers": [
                {
                  "billed_charge": 12.05,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Speech therapy session",
      "billing_code_type": "CPT",
      "billing_code": "92507",
      "billing_code_type_version": "2026",
      "description": "Speech therapy session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1104809763"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1104809763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215921259"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.49,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1215921259
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316776461"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1316776461
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.02,
              "providers": [
                {
                  "billed_charge": 165.02,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538238274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1538238274
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Emergency visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99285",
      "billing_code_type_version": "2026",
      "description": "Emergency visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063175578"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 346.48,
              "providers": [
                {
                  "billed_charge": 346.48,
                  "npi": [
                    1063175578
                  ]
                },
                {
                  "billed_charge": 763.0,
                  "npi": [
                    1063175578
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 1722.0,
              "providers": [
                {
                  "billed_charge": 1722.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356015564"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 254.39,
              "providers": [
                {
                  "billed_charge": 254.39,
                  "npi": [
                    1356015564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437222312"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 346.48,
              "providers": [
                {
                  "billed_charge": 346.48,
                  "npi": [
                    1437222312
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811097223"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 346.48,
              "providers": [
                {
                  "billed_charge": 346.48,
                  "npi": [
                    1811097223
                  ]
                },
                {
                  "billed_charge": 1051.0,
                  "npi": [
                    1811097223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912954553"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 346.48,
              "providers": [
                {
                  "billed_charge": 346.48,
                  "npi": [
                    1912954553
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 339.18,
              "providers": [
                {
                  "billed_charge": 339.18,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 346.48,
              "providers": [
                {
                  "billed_charge": 346.48,
                  "npi": [
                    1982601456
                  ]
                },
                {
                  "billed_charge": 1051.0,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Vaccine administration",
      "billing_code_type": "CPT",
      "billing_code": "90460",
      "billing_code_type_version": "2026",
      "description": "Vaccine administration",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003137589"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1003137589
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013313857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.79,
              "providers": [
                {
                  "billed_charge": 65.79,
                  "npi": [
                    1013313857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1023710332"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.94,
              "providers": [
                {
                  "billed_charge": 27.94,
                  "npi": [
                    1023710332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184631368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1184631368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205828811"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.84,
              "providers": [
                {
                  "billed_charge": 9.84,
                  "npi": [
                    1205828811
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225038326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1225038326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255617833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.26,
              "providers": [
                {
                  "billed_charge": 20.26,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.2,
              "providers": [
                {
                  "billed_charge": 33.2,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275273195"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.0,
              "providers": [
                {
                  "billed_charge": 48.0,
                  "npi": [
                    1275273195
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346317054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1346317054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396802856"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1396802856
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497865935"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1497865935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710002472"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.0,
              "providers": [
                {
                  "billed_charge": 144.0,
                  "npi": [
                    1710002472
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710003520"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1710003520
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760675961"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.76,
              "providers": [
                {
                  "billed_charge": 41.1,
                  "npi": [
                    1760675961
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912950684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1912950684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952449878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.0,
              "providers": [
                {
                  "billed_charge": 104.0,
                  "npi": [
                    1952449878
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee to give a pneumococcal vaccine, protecting against 20 strains of the bacteria caused by streptococcus",
      "billing_code_type": "CPT",
      "billing_code": "90677",
      "billing_code_type_version": "2026",
      "description": "Provider fee to give a pneumococcal vaccine, protecting against 20 strains of the bacteria caused by streptococcus",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 469.35,
              "providers": [
                {
                  "billed_charge": 469.35,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 469.35,
              "providers": [
                {
                  "billed_charge": 469.35,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437151776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1437151776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 538.66,
              "providers": [
                {
                  "billed_charge": 538.66,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 469.35,
              "providers": [
                {
                  "billed_charge": 469.35,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679901649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699700526"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 538.66,
              "providers": [
                {
                  "billed_charge": 538.66,
                  "npi": [
                    1699700526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 538.66,
              "providers": [
                {
                  "billed_charge": 538.66,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for extra complexity in an evaluation and management visit",
      "billing_code_type": "HCPCS",
      "billing_code": "G2211",
      "billing_code_type_version": "2026",
      "description": "Provider fee for extra complexity in an evaluation and management visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033638929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1033638929
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.06,
              "providers": [
                {
                  "billed_charge": 15.06,
                  "npi": [
                    1033638929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073508545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1073508545
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093245979"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1093245979
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.29,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1093245979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104323344"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.1,
              "providers": [
                {
                  "billed_charge": 22.1,
                  "npi": [
                    1104323344
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205360518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.26,
              "providers": [
                {
                  "billed_charge": 14.26,
                  "npi": [
                    1205360518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235296054"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 52.0,
                  "npi": [
                    1235296054
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285684225"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1285684225
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306866413"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.68,
              "providers": [
                {
                  "billed_charge": 28.68,
                  "npi": [
                    1306866413
                  ]
                }
              ]
            },
            {
              "allowed_amount": 34.56,
              "providers": [
                {
                  "billed_charge": 34.56,
                  "npi": [
                    1306866413
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407977457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407977457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437493467"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.14,
              "providers": [
                {
                  "billed_charge": 61.37,
                  "npi": [
                    1437493467
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548226988"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.4,
              "providers": [
                {
                  "billed_charge": 16.4,
                  "npi": [
                    1548226988
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699797878"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1699797878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760474936"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1760474936
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1760474936
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.68,
              "providers": [
                {
                  "billed_charge": 19.68,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831415793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1831415793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922084227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.55,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1922084227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942610308"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.37,
              "providers": [
                {
                  "billed_charge": 19.37,
                  "npi": [
                    1942610308
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952402091"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.21,
              "providers": [
                {
                  "billed_charge": 40.87,
                  "npi": [
                    1952402091
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ophthalmologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Ophthalmologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033551163"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1033551163
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043266703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1043266703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093779696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1093779696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114321536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1114321536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134191836"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 132.21,
              "providers": [
                {
                  "billed_charge": 161.0,
                  "npi": [
                    1134191836
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164402764"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1164402764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184615874"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1184615874
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184718504"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1184718504
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184853319"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1184853319
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194926964"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1194926964
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285763441"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1285763441
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376508788"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 114.0,
              "providers": [
                {
                  "billed_charge": 114.0,
                  "npi": [
                    1376508788
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376794982"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1376794982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417635426"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.0,
              "providers": [
                {
                  "billed_charge": 92.0,
                  "npi": [
                    1417635426
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497426829"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1497426829
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629186523"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1629186523
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649428764"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.2,
              "providers": [
                {
                  "billed_charge": 127.2,
                  "npi": [
                    1649428764
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689077380"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1689077380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710914106"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 92.0,
              "providers": [
                {
                  "billed_charge": 92.0,
                  "npi": [
                    1710914106
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720835721"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.99,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1720835721
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760725626"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1760725626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801114509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 178.8,
              "providers": [
                {
                  "billed_charge": 178.8,
                  "npi": [
                    1801114509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891782926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1891782926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992794127"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1992794127
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063066066"
          },
          "service_code": [
            "72"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1063066066
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184801052"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.87,
              "providers": [
                {
                  "billed_charge": 88.87,
                  "npi": [
                    1184801052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194784611"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 260.0,
                  "npi": [
                    1194784611
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215686605"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1215686605
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215712096"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 280.0,
                  "npi": [
                    1215712096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 181.76,
              "providers": [
                {
                  "billed_charge": 181.76,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356384143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.3,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1356384143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487110367"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.3,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1487110367
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588261929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1588261929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "10",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.18,
              "providers": [
                {
                  "billed_charge": 83.18,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            },
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639572381"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.49,
              "providers": [
                {
                  "billed_charge": 164.49,
                  "npi": [
                    1639572381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649838590"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1649838590
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659769446"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 270.89,
              "providers": [
                {
                  "billed_charge": 270.89,
                  "npi": [
                    1659769446
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700828852"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.85,
              "providers": [
                {
                  "billed_charge": 52.85,
                  "npi": [
                    1700828852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 398.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861437923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 203.29,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1861437923
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073779377"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.28,
              "providers": [
                {
                  "billed_charge": 13.28,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.35,
              "providers": [
                {
                  "billed_charge": 24.35,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.01,
              "providers": [
                {
                  "billed_charge": 26.01,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.6,
              "providers": [
                {
                  "billed_charge": 27.6,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 93.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386325439"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1386325439
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 11.52,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568446755"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 460.0,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            },
            {
              "allowed_amount": 164.8,
              "providers": [
                {
                  "billed_charge": 460.0,
                  "npi": [
                    1568446755
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861381394"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1861381394
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689473860"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1689473860
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063737088"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.0,
              "providers": [
                {
                  "billed_charge": 33.0,
                  "npi": [
                    1063737088
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073690509"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.44,
              "providers": [
                {
                  "billed_charge": 24.44,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.45,
              "providers": [
                {
                  "billed_charge": 24.45,
                  "npi": [
                    1073690509
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073779377"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.62,
              "providers": [
                {
                  "billed_charge": 10.62,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.75,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.48,
              "providers": [
                {
                  "billed_charge": 19.48,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.08,
              "providers": [
                {
                  "billed_charge": 22.08,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.51,
              "providers": [
                {
                  "billed_charge": 25.51,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.06,
              "providers": [
                {
                  "billed_charge": 39.06,
                  "npi": [
                    1073779377
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104914274"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.6,
              "providers": [
                {
                  "billed_charge": 251.6,
                  "npi": [
                    1104914274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 93.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336226851"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.45,
              "providers": [
                {
                  "billed_charge": 24.45,
                  "npi": [
                    1336226851
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 11.52,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 62.71,
              "providers": [
                {
                  "billed_charge": 62.71,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 97.29,
              "providers": [
                {
                  "billed_charge": 97.29,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.36,
              "providers": [
                {
                  "billed_charge": 111.36,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.42,
              "providers": [
                {
                  "billed_charge": 125.42,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            },
            {
              "allowed_amount": 188.12,
              "providers": [
                {
                  "billed_charge": 188.12,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578087086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1578087086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730890559"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1730890559
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.02,
              "providers": [
                {
                  "billed_charge": 136.1,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 123.03,
              "providers": [
                {
                  "billed_charge": 195.55,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 54.05,
              "providers": [
                {
                  "billed_charge": 54.05,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 69.68,
              "providers": [
                {
                  "billed_charge": 69.68,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 108.1,
              "providers": [
                {
                  "billed_charge": 108.1,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 123.72,
              "providers": [
                {
                  "billed_charge": 123.72,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 139.35,
              "providers": [
                {
                  "billed_charge": 139.35,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 177.78,
              "providers": [
                {
                  "billed_charge": 177.78,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 209.03,
              "providers": [
                {
                  "billed_charge": 209.03,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.35,
              "providers": [
                {
                  "billed_charge": 139.35,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 209.03,
              "providers": [
                {
                  "billed_charge": 209.03,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710920327"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1710920327
                  ]
                },
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            },
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            },
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1710920327
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.29,
              "providers": [
                {
                  "billed_charge": 515.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558100834"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1558100834
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598419285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1598419285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629587126"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1629587126
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821008335"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1821008335
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881907129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.0,
              "providers": [
                {
                  "billed_charge": 195.0,
                  "npi": [
                    1881907129
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for strep test",
      "billing_code_type": "CPT",
      "billing_code": "87880",
      "billing_code_type_version": "2026",
      "description": "Lab fee for strep test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023229143"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.23,
              "providers": [
                {
                  "billed_charge": 26.23,
                  "npi": [
                    1023229143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073266292"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.81,
              "providers": [
                {
                  "billed_charge": 26.0,
                  "npi": [
                    1073266292
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164494068"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 88.0,
                  "npi": [
                    1164494068
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.57,
              "providers": [
                {
                  "billed_charge": 32.57,
                  "npi": [
                    1164494068
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316381114"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1316381114
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316433477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1316433477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487137824"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.81,
              "providers": [
                {
                  "billed_charge": 28.93,
                  "npi": [
                    1487137824
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497738504"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.81,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1497738504
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518445410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.94,
              "providers": [
                {
                  "billed_charge": 21.94,
                  "npi": [
                    1518445410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568100519"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.35,
              "providers": [
                {
                  "billed_charge": 0.35,
                  "npi": [
                    1568100519
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609207034"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1609207034
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710144654"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1710144654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730821208"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.81,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1730821208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811997638"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.81,
              "providers": [
                {
                  "billed_charge": 49.28,
                  "npi": [
                    1811997638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821825530"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1821825530
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851756654"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.59,
              "providers": [
                {
                  "billed_charge": 16.59,
                  "npi": [
                    1851756654
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871677880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 34.0,
                  "npi": [
                    1871677880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912250234"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1912250234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.74,
              "providers": [
                {
                  "billed_charge": 9.74,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for bundle of general lab tests",
      "billing_code_type": "CPT",
      "billing_code": "80050",
      "billing_code_type_version": "2026",
      "description": "Lab fee for bundle of general lab tests",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194062448"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1194062448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306225222"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 471.0,
                  "npi": [
                    1306225222
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.13,
              "providers": [
                {
                  "billed_charge": 35.13,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to test for gonorrhea",
      "billing_code_type": "CPT",
      "billing_code": "87591",
      "billing_code_type_version": "2026",
      "description": "Lab fee to test for gonorrhea",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 78.95,
              "providers": [
                {
                  "billed_charge": 78.95,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 49.48,
              "providers": [
                {
                  "billed_charge": 120.35,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891770806"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.41,
              "providers": [
                {
                  "billed_charge": 58.41,
                  "npi": [
                    1891770806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942274410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.0,
              "providers": [
                {
                  "billed_charge": 124.0,
                  "npi": [
                    1942274410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1093212375"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.9,
              "providers": [
                {
                  "billed_charge": 6.9,
                  "npi": [
                    1093212375
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134133002"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.96,
              "providers": [
                {
                  "billed_charge": 6.96,
                  "npi": [
                    1134133002
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205242039"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1205242039
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265775209"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.4,
              "providers": [
                {
                  "billed_charge": 5.4,
                  "npi": [
                    1265775209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316962129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.29,
                  "npi": [
                    1316962129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467420448"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1467420448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518810183"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.92,
              "providers": [
                {
                  "billed_charge": 2.92,
                  "npi": [
                    1518810183
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699231688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1699231688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760590962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1760590962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871556621"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1871556621
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891745212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.45,
              "providers": [
                {
                  "billed_charge": 10.45,
                  "npi": [
                    1891745212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912094046"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 19.64,
                  "npi": [
                    1912094046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932145778"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932145778
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134181084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1134181084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184174682"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1184174682
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326072265"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 208.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            },
            {
              "allowed_amount": 208.0,
              "providers": [
                {
                  "billed_charge": 208.0,
                  "npi": [
                    1326072265
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477638260"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 137.2,
              "providers": [
                {
                  "billed_charge": 137.2,
                  "npi": [
                    1477638260
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477729572"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 183.3,
                  "npi": [
                    1477729572
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.98,
              "providers": [
                {
                  "billed_charge": 82.98,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [
            "11",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 88.2,
              "providers": [
                {
                  "billed_charge": 88.2,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669756532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 265.0,
                  "npi": [
                    1669756532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710562723"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 79.89,
              "providers": [
                {
                  "billed_charge": 79.89,
                  "npi": [
                    1710562723
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730701749"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 265.0,
                  "npi": [
                    1730701749
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891744843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1891744843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "OBGYN visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "OBGYN visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023537321"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.64,
              "providers": [
                {
                  "billed_charge": 400.0,
                  "npi": [
                    1023537321
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033618806"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 192.0,
                  "npi": [
                    1033618806
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134592538"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.89,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1134592538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144450339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 161.5,
              "providers": [
                {
                  "billed_charge": 161.5,
                  "npi": [
                    1144450339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184130627"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1184130627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245028653"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1245028653
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245746783"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1245746783
                  ]
                }
              ]
            },
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1245746783
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326436619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 359.0,
                  "npi": [
                    1326436619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396625877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 72.36,
              "providers": [
                {
                  "billed_charge": 72.36,
                  "npi": [
                    1396625877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417902339"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1417902339
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437178894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1437178894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598932816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.78,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1598932816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639276694"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.8,
              "providers": [
                {
                  "billed_charge": 128.8,
                  "npi": [
                    1639276694
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700082211"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.86,
              "providers": [
                {
                  "billed_charge": 124.92,
                  "npi": [
                    1700082211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811151244"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.0,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1811151244
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821759457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1821759457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952463887"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1952463887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982777876"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1982777876
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1053342816
                  ]
                },
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 79.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.1,
              "providers": [
                {
                  "billed_charge": 10.1,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376519801"
          },
          "service_code": [
            "22",
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1376519801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417227398"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1417227398
                  ]
                },
                {
                  "billed_charge": 89.19,
                  "npi": [
                    1417227398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528201845"
          },
          "service_code": [
            "23",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1528201845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598756363"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.59,
              "providers": [
                {
                  "billed_charge": 41.59,
                  "npi": [
                    1598756363
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710977400"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 89.19,
                  "npi": [
                    1710977400
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 114.14,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972503464"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.79,
              "providers": [
                {
                  "billed_charge": 3.79,
                  "npi": [
                    1972503464
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Injection of drug",
      "billing_code_type": "CPT",
      "billing_code": "96372",
      "billing_code_type_version": "2026",
      "description": "Injection of drug",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "20",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.56,
              "providers": [
                {
                  "billed_charge": 18.56,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.83,
              "providers": [
                {
                  "billed_charge": 21.83,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.92,
              "providers": [
                {
                  "billed_charge": 26.92,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.92,
              "providers": [
                {
                  "billed_charge": 26.92,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093710410"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.4,
              "providers": [
                {
                  "billed_charge": 38.4,
                  "npi": [
                    1093710410
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.4,
              "providers": [
                {
                  "billed_charge": 38.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.2,
              "providers": [
                {
                  "billed_charge": 115.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306509757"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 43.8,
                  "npi": [
                    1306509757
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.92,
              "providers": [
                {
                  "billed_charge": 26.92,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.84,
              "providers": [
                {
                  "billed_charge": 53.84,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.56,
              "providers": [
                {
                  "billed_charge": 18.56,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.83,
              "providers": [
                {
                  "billed_charge": 21.83,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.83,
              "providers": [
                {
                  "billed_charge": 21.83,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699809285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1699809285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.83,
              "providers": [
                {
                  "billed_charge": 21.83,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962419978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure free thyroxine",
      "billing_code_type": "CPT",
      "billing_code": "84439",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure free thyroxine",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063497451"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.59,
              "providers": [
                {
                  "billed_charge": 11.59,
                  "npi": [
                    1063497451
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285316075"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.24,
              "providers": [
                {
                  "billed_charge": 8.24,
                  "npi": [
                    1285316075
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 22.55,
              "providers": [
                {
                  "billed_charge": 22.55,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.12,
              "providers": [
                {
                  "billed_charge": 8.12,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.43,
              "providers": [
                {
                  "billed_charge": 77.43,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.02,
              "providers": [
                {
                  "billed_charge": 9.02,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.08,
              "providers": [
                {
                  "billed_charge": 36.08,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.77,
              "providers": [
                {
                  "billed_charge": 6.77,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for additional work to identify bacteria in culture",
      "billing_code_type": "CPT",
      "billing_code": "87077",
      "billing_code_type_version": "2026",
      "description": "Lab fee for additional work to identify bacteria in culture",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.18,
              "providers": [
                {
                  "billed_charge": 18.18,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.36,
              "providers": [
                {
                  "billed_charge": 36.36,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.18,
              "providers": [
                {
                  "billed_charge": 18.18,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.39,
              "providers": [
                {
                  "billed_charge": 41.83,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99203",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003270117"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 258.0,
              "providers": [
                {
                  "billed_charge": 258.0,
                  "npi": [
                    1003270117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053608547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 180.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1053608547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083670962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1083670962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093745994"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1093745994
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104914100"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 325.0,
              "providers": [
                {
                  "billed_charge": 325.0,
                  "npi": [
                    1104914100
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164474250"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.29,
              "providers": [
                {
                  "billed_charge": 324.15,
                  "npi": [
                    1164474250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205967718"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.0,
              "providers": [
                {
                  "billed_charge": 37.0,
                  "npi": [
                    1205967718
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306839725"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 147.54,
              "providers": [
                {
                  "billed_charge": 500.0,
                  "npi": [
                    1306839725
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326486457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.2,
              "providers": [
                {
                  "billed_charge": 280.8,
                  "npi": [
                    1326486457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336716489"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1336716489
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356400683"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 207.35,
              "providers": [
                {
                  "billed_charge": 207.35,
                  "npi": [
                    1356400683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386856276"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 213.0,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1386856276
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538515432"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1538515432
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.5,
              "providers": [
                {
                  "billed_charge": 112.5,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699864215"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 257.0,
              "providers": [
                {
                  "billed_charge": 258.0,
                  "npi": [
                    1699864215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750993374"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 244.93,
              "providers": [
                {
                  "billed_charge": 244.93,
                  "npi": [
                    1750993374
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831372499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1831372499
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871925693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1871925693
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962430488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1962430488
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine EKG",
      "billing_code_type": "CPT",
      "billing_code": "93010",
      "billing_code_type_version": "2026",
      "description": "Routine EKG",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013918937"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.67,
              "providers": [
                {
                  "billed_charge": 3.67,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.26,
              "providers": [
                {
                  "billed_charge": 14.26,
                  "npi": [
                    1013918937
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356015564"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1356015564
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.26,
              "providers": [
                {
                  "billed_charge": 14.26,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740221795"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.94,
              "providers": [
                {
                  "billed_charge": 11.94,
                  "npi": [
                    1740221795
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780820555"
          },
          "service_code": [
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1780820555
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811097223"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.94,
              "providers": [
                {
                  "billed_charge": 11.94,
                  "npi": [
                    1811097223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.3,
              "providers": [
                {
                  "billed_charge": 16.3,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952331936"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1952331936
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023049236"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 163.0,
                  "npi": [
                    1023049236
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144543877"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1144543877
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154377166"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1154377166
                  ]
                },
                {
                  "billed_charge": 76.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.05,
              "providers": [
                {
                  "billed_charge": 18.05,
                  "npi": [
                    1154377166
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386361756"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1386361756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457346496"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 19.5,
                  "npi": [
                    1457346496
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508848300"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1508848300
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609816123"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.69,
              "providers": [
                {
                  "billed_charge": 42.69,
                  "npi": [
                    1609816123
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780098046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.0,
              "providers": [
                {
                  "billed_charge": 32.0,
                  "npi": [
                    1780098046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073167664"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 9.28,
                  "npi": [
                    1073167664
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.6,
              "providers": [
                {
                  "billed_charge": 13.6,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.35,
              "providers": [
                {
                  "billed_charge": 23.35,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 12.22,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.22,
              "providers": [
                {
                  "billed_charge": 12.22,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Gastroenterologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99204",
      "billing_code_type_version": "2026",
      "description": "Gastroenterologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013232909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 209.25,
              "providers": [
                {
                  "billed_charge": 234.65,
                  "npi": [
                    1013232909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013527845"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1013527845
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1013838267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.4,
              "providers": [
                {
                  "billed_charge": 78.4,
                  "npi": [
                    1013838267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124313614"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.4,
              "providers": [
                {
                  "billed_charge": 152.4,
                  "npi": [
                    1124313614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124341649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 224.03,
              "providers": [
                {
                  "billed_charge": 238.35,
                  "npi": [
                    1124341649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.18,
              "providers": [
                {
                  "billed_charge": 238.35,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245261833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 183.0,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1245261833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245410703"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1245410703
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.32,
              "providers": [
                {
                  "billed_charge": 155.32,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306913959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 400.0,
              "providers": [
                {
                  "billed_charge": 400.0,
                  "npi": [
                    1306913959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417117508"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 290.65,
              "providers": [
                {
                  "billed_charge": 312.65,
                  "npi": [
                    1417117508
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457467227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 233.94,
              "providers": [
                {
                  "billed_charge": 692.0,
                  "npi": [
                    1457467227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558545202"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 241.0,
              "providers": [
                {
                  "billed_charge": 241.0,
                  "npi": [
                    1558545202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 291.0,
              "providers": [
                {
                  "billed_charge": 291.0,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588612568"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 170.25,
              "providers": [
                {
                  "billed_charge": 170.25,
                  "npi": [
                    1588612568
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1659530376"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 152.0,
              "providers": [
                {
                  "billed_charge": 152.0,
                  "npi": [
                    1659530376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669461588"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1669461588
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790851095"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 542.0,
                  "npi": [
                    1790851095
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801840434"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 392.0,
                  "npi": [
                    1801840434
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861449407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 340.5,
              "providers": [
                {
                  "billed_charge": 340.5,
                  "npi": [
                    1861449407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932420395"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 198.75,
              "providers": [
                {
                  "billed_charge": 198.75,
                  "npi": [
                    1932420395
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952497117"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1952497117
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982903951"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1982903951
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013208248"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 97.5,
              "providers": [
                {
                  "billed_charge": 97.5,
                  "npi": [
                    1013208248
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184326092"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.51,
              "providers": [
                {
                  "billed_charge": 27.51,
                  "npi": [
                    1184326092
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.92,
              "providers": [
                {
                  "billed_charge": 43.92,
                  "npi": [
                    1184326092
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 66.99,
              "providers": [
                {
                  "billed_charge": 66.99,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326516253"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.5,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1326516253
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484212"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.54,
              "providers": [
                {
                  "billed_charge": 14.54,
                  "npi": [
                    1467484212
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487849469"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.8,
              "providers": [
                {
                  "billed_charge": 83.8,
                  "npi": [
                    1487849469
                  ]
                }
              ]
            },
            {
              "allowed_amount": 103.99,
              "providers": [
                {
                  "billed_charge": 103.99,
                  "npi": [
                    1487849469
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669150272"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 37.92,
              "providers": [
                {
                  "billed_charge": 67.5,
                  "npi": [
                    1669150272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760910418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.6,
              "providers": [
                {
                  "billed_charge": 28.6,
                  "npi": [
                    1760910418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770585911"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.64,
              "providers": [
                {
                  "billed_charge": 20.64,
                  "npi": [
                    1770585911
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821680174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 41.25,
              "providers": [
                {
                  "billed_charge": 41.25,
                  "npi": [
                    1821680174
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.5,
              "providers": [
                {
                  "billed_charge": 82.5,
                  "npi": [
                    1821680174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831432657"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1831432657
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure bilirubin",
      "billing_code_type": "CPT",
      "billing_code": "82248",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure bilirubin",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.08,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.3,
              "providers": [
                {
                  "billed_charge": 11.3,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.3,
              "providers": [
                {
                  "billed_charge": 11.3,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Gastroenterologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Gastroenterologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1215089826"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1215089826
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295907756"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.08,
              "providers": [
                {
                  "billed_charge": 112.08,
                  "npi": [
                    1295907756
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306047113"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1306047113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437186111"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1437186111
                  ]
                },
                {
                  "billed_charge": 503.0,
                  "npi": [
                    1437186111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477586063"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.12,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1477586063
                  ]
                },
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1477586063
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508845629"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.68,
              "providers": [
                {
                  "billed_charge": 61.68,
                  "npi": [
                    1508845629
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.25,
              "providers": [
                {
                  "billed_charge": 107.25,
                  "npi": [
                    1508845629
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538580584"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.91,
              "providers": [
                {
                  "billed_charge": 135.85,
                  "npi": [
                    1538580584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588611909"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1588611909
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609114354"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.01,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1609114354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669348454"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1669348454
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730495680"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1730495680
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730707472"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.67,
              "providers": [
                {
                  "billed_charge": 115.67,
                  "npi": [
                    1730707472
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730758418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.01,
              "providers": [
                {
                  "billed_charge": 170.0,
                  "npi": [
                    1730758418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770801144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 104.04,
              "providers": [
                {
                  "billed_charge": 135.75,
                  "npi": [
                    1770801144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851826036"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.49,
              "providers": [
                {
                  "billed_charge": 123.75,
                  "npi": [
                    1851826036
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891863569"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 61.68,
              "providers": [
                {
                  "billed_charge": 61.68,
                  "npi": [
                    1891863569
                  ]
                }
              ]
            },
            {
              "allowed_amount": 107.25,
              "providers": [
                {
                  "billed_charge": 107.25,
                  "npi": [
                    1891863569
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922053545"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 189.0,
                  "npi": [
                    1922053545
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1386487296"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.68,
              "providers": [
                {
                  "billed_charge": 46.68,
                  "npi": [
                    1386487296
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801865118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.97,
              "providers": [
                {
                  "billed_charge": 18.97,
                  "npi": [
                    1801865118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.79,
              "providers": [
                {
                  "billed_charge": 27.79,
                  "npi": [
                    1801865118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.43,
              "providers": [
                {
                  "billed_charge": 31.43,
                  "npi": [
                    1801865118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 35.49,
              "providers": [
                {
                  "billed_charge": 35.49,
                  "npi": [
                    1801865118
                  ]
                }
              ]
            },
            {
              "allowed_amount": 44.0,
              "providers": [
                {
                  "billed_charge": 44.0,
                  "npi": [
                    1801865118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821017880"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 166.0,
                  "npi": [
                    1821017880
                  ]
                },
                {
                  "billed_charge": 332.0,
                  "npi": [
                    1821017880
                  ]
                },
                {
                  "billed_charge": 498.0,
                  "npi": [
                    1821017880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891438099"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 58.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1891438099
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.44,
              "providers": [
                {
                  "billed_charge": 111.44,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nephrologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99215",
      "billing_code_type_version": "2026",
      "description": "Nephrologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023010584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.09,
              "providers": [
                {
                  "billed_charge": 134.09,
                  "npi": [
                    1023010584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063453991"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 164.98,
              "providers": [
                {
                  "billed_charge": 327.0,
                  "npi": [
                    1063453991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073644423"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1073644423
                  ]
                }
              ]
            },
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1073644423
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083676084"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1083676084
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154643096"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1154643096
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194919837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 495.79,
                  "npi": [
                    1194919837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205832227"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.05,
              "providers": [
                {
                  "billed_charge": 222.0,
                  "npi": [
                    1205832227
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376920488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 315.0,
                  "npi": [
                    1376920488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558334334"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.38,
              "providers": [
                {
                  "billed_charge": 451.75,
                  "npi": [
                    1558334334
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578969465"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 195.76,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1578969465
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740551506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1740551506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770543399"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 375.0,
                  "npi": [
                    1770543399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861194938"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 171.89,
              "providers": [
                {
                  "billed_charge": 171.89,
                  "npi": [
                    1861194938
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902614332"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 421.0,
                  "npi": [
                    1902614332
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952084477"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1952084477
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 254.98,
              "providers": [
                {
                  "billed_charge": 254.98,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962462226"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1962462226
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Pediatrician visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Pediatrician visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033312111"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.2,
              "providers": [
                {
                  "billed_charge": 78.2,
                  "npi": [
                    1033312111
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053088302"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1053088302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114048444"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1114048444
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194495150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1194495150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225292865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1225292865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326119975"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.17,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1326119975
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407840341"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1407840341
                  ]
                }
              ]
            },
            {
              "allowed_amount": 93.2,
              "providers": [
                {
                  "billed_charge": 155.0,
                  "npi": [
                    1407840341
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467429977"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1467429977
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497784144"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.17,
              "providers": [
                {
                  "billed_charge": 121.12,
                  "npi": [
                    1497784144
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770564387"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.17,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1770564387
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780658443"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1780658443
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790851095"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.17,
              "providers": [
                {
                  "billed_charge": 237.0,
                  "npi": [
                    1790851095
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831115492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 228.0,
                  "npi": [
                    1831115492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841261476"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1841261476
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861449407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.56,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1861449407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891100376"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.2,
              "providers": [
                {
                  "billed_charge": 82.2,
                  "npi": [
                    1891100376
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902886492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.71,
              "providers": [
                {
                  "billed_charge": 199.0,
                  "npi": [
                    1902886492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952334609"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 112.22,
              "providers": [
                {
                  "billed_charge": 113.0,
                  "npi": [
                    1952334609
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992937023"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 123.34,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1992937023
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Well-child visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99393",
      "billing_code_type_version": "2026",
      "description": "Well-child visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.58,
              "providers": [
                {
                  "billed_charge": 155.58,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053455170"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.58,
              "providers": [
                {
                  "billed_charge": 155.58,
                  "npi": [
                    1053455170
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093709990"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.39,
              "providers": [
                {
                  "billed_charge": 120.39,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            },
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1093709990
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437151776"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.42,
              "providers": [
                {
                  "billed_charge": 81.42,
                  "npi": [
                    1437151776
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487231619"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1487231619
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518966407"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1518966407
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1528060753"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1528060753
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 155.58,
              "providers": [
                {
                  "billed_charge": 155.58,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679901649"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 96.0,
              "providers": [
                {
                  "billed_charge": 96.0,
                  "npi": [
                    1679901649
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689307993"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 156.81,
              "providers": [
                {
                  "billed_charge": 251.0,
                  "npi": [
                    1689307993
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871548743"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1871548743
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972551661"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.22,
              "providers": [
                {
                  "billed_charge": 15.22,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1972551661
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992908651"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 138.0,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1992908651
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to identify bacteria in culture",
      "billing_code_type": "CPT",
      "billing_code": "87086",
      "billing_code_type_version": "2026",
      "description": "Lab fee to identify bacteria in culture",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.16,
              "providers": [
                {
                  "billed_charge": 18.16,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 61.0,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679518724"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1679518724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.11,
              "providers": [
                {
                  "billed_charge": 12.11,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043331978"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.8,
              "providers": [
                {
                  "billed_charge": 31.8,
                  "npi": [
                    1043331978
                  ]
                }
              ]
            },
            {
              "allowed_amount": 63.6,
              "providers": [
                {
                  "billed_charge": 63.6,
                  "npi": [
                    1043331978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063449536"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.82,
              "providers": [
                {
                  "billed_charge": 22.41,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 20.38,
              "providers": [
                {
                  "billed_charge": 33.05,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.14,
              "providers": [
                {
                  "billed_charge": 34.28,
                  "npi": [
                    1063449536
                  ]
                },
                {
                  "billed_charge": 34.29,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 28.01,
              "providers": [
                {
                  "billed_charge": 45.42,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.84,
              "providers": [
                {
                  "billed_charge": 64.61,
                  "npi": [
                    1063449536
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699905554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.82,
              "providers": [
                {
                  "billed_charge": 19.16,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 21.14,
              "providers": [
                {
                  "billed_charge": 34.28,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 39.84,
              "providers": [
                {
                  "billed_charge": 64.61,
                  "npi": [
                    1699905554
                  ]
                },
                {
                  "billed_charge": 64.62,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.63,
              "providers": [
                {
                  "billed_charge": 64.61,
                  "npi": [
                    1699905554
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Certified registered nurse anesthetist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99213",
      "billing_code_type_version": "2026",
      "description": "Certified registered nurse anesthetist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1023447935"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1023447935
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073268934"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 127.5,
              "providers": [
                {
                  "billed_charge": 127.5,
                  "npi": [
                    1073268934
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104433267"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.41,
              "providers": [
                {
                  "billed_charge": 144.0,
                  "npi": [
                    1104433267
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225628803"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1225628803
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346336732"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 102.59,
              "providers": [
                {
                  "billed_charge": 102.59,
                  "npi": [
                    1346336732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356335145"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1356335145
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386092427"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.79,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1386092427
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417589771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1417589771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487961116"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 98.83,
              "providers": [
                {
                  "billed_charge": 98.83,
                  "npi": [
                    1487961116
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518676329"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 300.0,
                  "npi": [
                    1518676329
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538628482"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.29,
              "providers": [
                {
                  "billed_charge": 85.29,
                  "npi": [
                    1538628482
                  ]
                }
              ]
            },
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1538628482
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588086060"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.5,
              "providers": [
                {
                  "billed_charge": 141.5,
                  "npi": [
                    1588086060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619018561"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1619018561
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669621785"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.0,
              "providers": [
                {
                  "billed_charge": 95.0,
                  "npi": [
                    1669621785
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740623677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.97,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1740623677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750626495"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 180.0,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            },
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            },
            {
              "allowed_amount": 167.0,
              "providers": [
                {
                  "billed_charge": 167.0,
                  "npi": [
                    1750626495
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780606541"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1780606541
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1780606541
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821097437"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.0,
              "providers": [
                {
                  "billed_charge": 63.0,
                  "npi": [
                    1821097437
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861400103"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.09,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1861400103
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194277186"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.6,
              "providers": [
                {
                  "billed_charge": 9.6,
                  "npi": [
                    1194277186
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255389995"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1255389995
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295789907"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 283.0,
                  "npi": [
                    1295789907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396001780"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.54,
              "providers": [
                {
                  "billed_charge": 7.54,
                  "npi": [
                    1396001780
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1396001780
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467738252"
          },
          "service_code": [
            "22",
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.54,
              "providers": [
                {
                  "billed_charge": 7.54,
                  "npi": [
                    1467738252
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477531580"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1477531580
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487251948"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1487251948
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568667087"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.54,
              "providers": [
                {
                  "billed_charge": 7.54,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.2,
              "providers": [
                {
                  "billed_charge": 31.2,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            },
            {
              "allowed_amount": 31.94,
              "providers": [
                {
                  "billed_charge": 31.94,
                  "npi": [
                    1568667087
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598980310"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.22,
              "providers": [
                {
                  "billed_charge": 32.22,
                  "npi": [
                    1598980310
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699979732"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.83,
                  "npi": [
                    1699979732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790715381"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1790715381
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790822583"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1790822583
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952340994"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.38,
              "providers": [
                {
                  "billed_charge": 63.38,
                  "npi": [
                    1952340994
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Add on for mammogram: 3D tomosynthesis",
      "billing_code_type": "CPT",
      "billing_code": "77063",
      "billing_code_type_version": "2026",
      "description": "Add on for mammogram: 3D tomosynthesis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            },
            {
              "allowed_amount": 87.0,
              "providers": [
                {
                  "billed_charge": 87.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073512174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.35,
              "providers": [
                {
                  "billed_charge": 28.35,
                  "npi": [
                    1073512174
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.02,
              "providers": [
                {
                  "billed_charge": 24.02,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.04,
              "providers": [
                {
                  "billed_charge": 48.04,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164519393"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1164519393
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184626285"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.9,
              "providers": [
                {
                  "billed_charge": 42.9,
                  "npi": [
                    1184626285
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1184626285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215907522"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 95.21,
              "providers": [
                {
                  "billed_charge": 95.21,
                  "npi": [
                    1215907522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255377149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 66.0,
                  "npi": [
                    1255377149
                  ]
                },
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1255377149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265500953"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1265500953
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447259379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1447259379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548618978"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.9,
              "providers": [
                {
                  "billed_charge": 42.9,
                  "npi": [
                    1548618978
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578545273"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 42.9,
              "providers": [
                {
                  "billed_charge": 42.9,
                  "npi": [
                    1578545273
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609366863"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 69.92,
              "providers": [
                {
                  "billed_charge": 69.92,
                  "npi": [
                    1609366863
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679525919"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 89.93,
              "providers": [
                {
                  "billed_charge": 156.0,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            },
            {
              "allowed_amount": 91.0,
              "providers": [
                {
                  "billed_charge": 91.0,
                  "npi": [
                    1679525919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 58.71,
              "providers": [
                {
                  "billed_charge": 58.71,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912184045"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.75,
              "providers": [
                {
                  "billed_charge": 67.75,
                  "npi": [
                    1912184045
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956814"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.51,
              "providers": [
                {
                  "billed_charge": 30.51,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            },
            {
              "allowed_amount": 61.02,
              "providers": [
                {
                  "billed_charge": 61.02,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932240801"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1932240801
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982784534"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 60.0,
              "providers": [
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1982784534
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Brief emotional and behavioral assessment",
      "billing_code_type": "CPT",
      "billing_code": "96127",
      "billing_code_type_version": "2026",
      "description": "Brief emotional and behavioral assessment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033773858"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1033773858
                  ]
                }
              ]
            },
            {
              "allowed_amount": 2.89,
              "providers": [
                {
                  "billed_charge": 2.89,
                  "npi": [
                    1033773858
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.9,
              "providers": [
                {
                  "billed_charge": 2.9,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225038326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1225038326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255617833"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1255617833
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366443368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.64,
              "providers": [
                {
                  "billed_charge": 11.64,
                  "npi": [
                    1366443368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386281863"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.85,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1386281863
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467451922"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1467451922
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548387418"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.68,
              "providers": [
                {
                  "billed_charge": 3.68,
                  "npi": [
                    1548387418
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568499390"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1568499390
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699927947"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.45,
              "providers": [
                {
                  "billed_charge": 13.45,
                  "npi": [
                    1699927947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720309479"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 31.0,
                  "npi": [
                    1720309479
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740142843"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.93,
              "providers": [
                {
                  "billed_charge": 15.75,
                  "npi": [
                    1740142843
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750840062"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1750840062
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811049679"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1811049679
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821388893"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.81,
              "providers": [
                {
                  "billed_charge": 9.15,
                  "npi": [
                    1821388893
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831378249"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.77,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1831378249
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851418404"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1851418404
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891374294"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.27,
              "providers": [
                {
                  "billed_charge": 7.27,
                  "npi": [
                    1891374294
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.2,
              "providers": [
                {
                  "billed_charge": 9.2,
                  "npi": [
                    1891374294
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912211129"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.0,
              "providers": [
                {
                  "billed_charge": 7.0,
                  "npi": [
                    1912211129
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972080554"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1972080554
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.93,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1972080554
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992178693"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.3,
              "providers": [
                {
                  "billed_charge": 10.74,
                  "npi": [
                    1992178693
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063156271"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1063156271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245403567"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1245403567
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245845932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1245845932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326604729"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 140.0,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1326604729
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427506658"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1427506658
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1770135824"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1770135824
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Hemoglobin A1C test",
      "billing_code_type": "CPT",
      "billing_code": "83036",
      "billing_code_type_version": "2026",
      "description": "Hemoglobin A1C test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.08,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184638942"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1184638942
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.62,
              "providers": [
                {
                  "billed_charge": 12.62,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.6,
              "providers": [
                {
                  "billed_charge": 30.6,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.0,
              "providers": [
                {
                  "billed_charge": 38.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467433763"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.08,
              "providers": [
                {
                  "billed_charge": 26.12,
                  "npi": [
                    1467433763
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.74,
              "providers": [
                {
                  "billed_charge": 8.74,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 39.62,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 15.06,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649384223"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.08,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1649384223
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.48,
              "providers": [
                {
                  "billed_charge": 12.48,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.71,
              "providers": [
                {
                  "billed_charge": 9.71,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043641897"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1043641897
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063457380"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1063457380
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215907522"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.65,
              "providers": [
                {
                  "billed_charge": 24.65,
                  "npi": [
                    1215907522
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356366991"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 97.0,
                  "npi": [
                    1356366991
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457146250"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497850275"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1497850275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            },
            {
              "allowed_amount": 10.96,
              "providers": [
                {
                  "billed_charge": 10.96,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 79.33,
              "providers": [
                {
                  "billed_charge": 79.33,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790131050"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1790131050
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790837235"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1790837235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841264868"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 139.0,
                  "npi": [
                    1841264868
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992738959"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.04,
              "providers": [
                {
                  "billed_charge": 59.04,
                  "npi": [
                    1992738959
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Comprehensive metabolic panel (CMP)",
      "billing_code_type": "CPT",
      "billing_code": "80053",
      "billing_code_type_version": "2026",
      "description": "Comprehensive metabolic panel (CMP)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.4,
              "providers": [
                {
                  "billed_charge": 26.4,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 36.0,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629011234"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 18.69,
              "providers": [
                {
                  "billed_charge": 27.7,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            },
            {
              "allowed_amount": 27.84,
              "providers": [
                {
                  "billed_charge": 27.84,
                  "npi": [
                    1629011234
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 174.8,
              "providers": [
                {
                  "billed_charge": 174.8,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700950060"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1700950060
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780429076"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1780429076
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 88.8,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 70.74,
              "providers": [
                {
                  "billed_charge": 88.8,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.56,
              "providers": [
                {
                  "billed_charge": 10.56,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 14.49,
              "providers": [
                {
                  "billed_charge": 14.49,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073054219"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1073054219
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.75,
              "providers": [
                {
                  "billed_charge": 194.75,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710936828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1710936828
                  ]
                }
              ]
            },
            {
              "allowed_amount": 174.0,
              "providers": [
                {
                  "billed_charge": 174.0,
                  "npi": [
                    1710936828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 144.3,
              "providers": [
                {
                  "billed_charge": 145.23,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831137827"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 109.27,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1831137827
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942296033"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 192.24,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            },
            {
              "allowed_amount": 259.66,
              "providers": [
                {
                  "billed_charge": 259.66,
                  "npi": [
                    1942296033
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for blood test checking for virus antibody",
      "billing_code_type": "CPT",
      "billing_code": "86803",
      "billing_code_type_version": "2026",
      "description": "Lab fee for blood test checking for virus antibody",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.8,
              "providers": [
                {
                  "billed_charge": 28.8,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245667229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.12,
              "providers": [
                {
                  "billed_charge": 167.58,
                  "npi": [
                    1245667229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 32.11,
              "providers": [
                {
                  "billed_charge": 32.11,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Wellness visit or annual physical",
      "billing_code_type": "CPT",
      "billing_code": "99396",
      "billing_code_type_version": "2026",
      "description": "Wellness visit or annual physical",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013916030"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 200.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1013916030
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.61,
              "providers": [
                {
                  "billed_charge": 157.61,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 188.0,
              "providers": [
                {
                  "billed_charge": 188.0,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205886926"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.54,
              "providers": [
                {
                  "billed_charge": 187.54,
                  "npi": [
                    1205886926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376684688"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1376684688
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467635128"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 149.1,
              "providers": [
                {
                  "billed_charge": 169.69,
                  "npi": [
                    1467635128
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477661478"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.68,
              "providers": [
                {
                  "billed_charge": 250.68,
                  "npi": [
                    1477661478
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538731724"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 187.52,
              "providers": [
                {
                  "billed_charge": 202.0,
                  "npi": [
                    1538731724
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548279714"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1548279714
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 185.42,
              "providers": [
                {
                  "billed_charge": 185.42,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669756532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 295.0,
                  "npi": [
                    1669756532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699179929"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 134.0,
              "providers": [
                {
                  "billed_charge": 134.0,
                  "npi": [
                    1699179929
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962419978"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.5,
              "providers": [
                {
                  "billed_charge": 142.5,
                  "npi": [
                    1962419978
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for nutrition therapy/treatment",
      "billing_code_type": "CPT",
      "billing_code": "97803",
      "billing_code_type_version": "2026",
      "description": "Provider fee for nutrition therapy/treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1134084254"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1134084254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184124422"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.0,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1184124422
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932843174"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 225.0,
              "providers": [
                {
                  "billed_charge": 225.0,
                  "npi": [
                    1932843174
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for ankle x-ray",
      "billing_code_type": "CPT",
      "billing_code": "73610",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for ankle x-ray",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.62,
              "providers": [
                {
                  "billed_charge": 51.62,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.11,
              "providers": [
                {
                  "billed_charge": 54.11,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            },
            {
              "allowed_amount": 63.66,
              "providers": [
                {
                  "billed_charge": 63.66,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194982926"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1194982926
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245444959"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.96,
              "providers": [
                {
                  "billed_charge": 45.96,
                  "npi": [
                    1245444959
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.4,
              "providers": [
                {
                  "billed_charge": 78.4,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346997293"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.4,
              "providers": [
                {
                  "billed_charge": 78.4,
                  "npi": [
                    1346997293
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396273405"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.11,
              "providers": [
                {
                  "billed_charge": 54.11,
                  "npi": [
                    1396273405
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "19",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 26.26,
              "providers": [
                {
                  "billed_charge": 26.26,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "23"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.23,
              "providers": [
                {
                  "billed_charge": 12.23,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 43.88,
              "providers": [
                {
                  "billed_charge": 43.88,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.62,
              "providers": [
                {
                  "billed_charge": 51.62,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956814"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.82,
              "providers": [
                {
                  "billed_charge": 3.82,
                  "npi": [
                    1912956814
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235468083"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 13.08,
                  "npi": [
                    1235468083
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295136125"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.18,
              "providers": [
                {
                  "billed_charge": 18.85,
                  "npi": [
                    1295136125
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447359997"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1447359997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467484972"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1467484972
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508978677"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 15.9,
                  "npi": [
                    1508978677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689919599"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.1,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            },
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1689919599
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780870097"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1780870097
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.34,
              "providers": [
                {
                  "billed_charge": 9.34,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 128.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 69.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063481141"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.5,
              "providers": [
                {
                  "billed_charge": 8.5,
                  "npi": [
                    1063481141
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134165970"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1134165970
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1164971800"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 49.66,
                  "npi": [
                    1164971800
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255372207"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1255372207
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.67,
              "providers": [
                {
                  "billed_charge": 77.67,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396714663"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1396714663
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407844657"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.1,
              "providers": [
                {
                  "billed_charge": 12.1,
                  "npi": [
                    1407844657
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497850275"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1497850275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1568562551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 43.97,
                  "npi": [
                    1568562551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619040284"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1619040284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.05,
              "providers": [
                {
                  "billed_charge": 12.05,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780633289"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 18.75,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            },
            {
              "allowed_amount": 26.78,
              "providers": [
                {
                  "billed_charge": 26.78,
                  "npi": [
                    1780633289
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831173202"
          },
          "service_code": [
            "81",
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.8,
              "providers": [
                {
                  "billed_charge": 7.8,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1831173202
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831389550"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1831389550
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962996421"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.4,
              "providers": [
                {
                  "billed_charge": 12.4,
                  "npi": [
                    1962996421
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Complete blood count (CBC)",
      "billing_code_type": "CPT",
      "billing_code": "85025",
      "billing_code_type_version": "2026",
      "description": "Complete blood count (CBC)",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063406684"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.67,
              "providers": [
                {
                  "billed_charge": 18.67,
                  "npi": [
                    1063406684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1093096638"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1093096638
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124650239"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1124650239
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235129214"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 67.11,
                  "npi": [
                    1235129214
                  ]
                },
                {
                  "billed_charge": 157.43,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            },
            {
              "allowed_amount": 38.21,
              "providers": [
                {
                  "billed_charge": 38.21,
                  "npi": [
                    1235129214
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265486278"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1265486278
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396986295"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.9,
              "providers": [
                {
                  "billed_charge": 27.9,
                  "npi": [
                    1396986295
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437135902"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 38.21,
              "providers": [
                {
                  "billed_charge": 38.21,
                  "npi": [
                    1437135902
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.66,
              "providers": [
                {
                  "billed_charge": 10.66,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538586243"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.9,
              "providers": [
                {
                  "billed_charge": 11.9,
                  "npi": [
                    1538586243
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649726738"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.73,
              "providers": [
                {
                  "billed_charge": 2.73,
                  "npi": [
                    1649726738
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710952262"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.81,
              "providers": [
                {
                  "billed_charge": 7.81,
                  "npi": [
                    1710952262
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 23.33,
                  "npi": [
                    1710952262
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790804268"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 43.0,
                  "npi": [
                    1790804268
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831144971"
          },
          "service_code": [
            "11",
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1831144971
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881583730"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 23.0,
                  "npi": [
                    1881583730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891731626"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1891731626
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912319997"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 24.0,
              "providers": [
                {
                  "billed_charge": 24.0,
                  "npi": [
                    1912319997
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952870487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1952870487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962461681"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 206.03,
                  "npi": [
                    1962461681
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90834",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1245838630"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1245838630
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275656399"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1275656399
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376820209"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.34,
              "providers": [
                {
                  "billed_charge": 19.34,
                  "npi": [
                    1376820209
                  ]
                }
              ]
            },
            {
              "allowed_amount": 19.36,
              "providers": [
                {
                  "billed_charge": 19.36,
                  "npi": [
                    1376820209
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407236235"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1407236235
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609842962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1609842962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619188794"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1619188794
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1619188794
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699749457"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.16,
              "providers": [
                {
                  "billed_charge": 71.16,
                  "npi": [
                    1699749457
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720890080"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1720890080
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1730837857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 120.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1730837857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.9,
              "providers": [
                {
                  "billed_charge": 113.9,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1821494220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 172.0,
              "providers": [
                {
                  "billed_charge": 185.0,
                  "npi": [
                    1821494220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831906494"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1831906494
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861065880"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1861065880
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861931388"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 128.48,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1861931388
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932797024"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1932797024
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Orthopedic surgeon visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Orthopedic surgeon visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013657121"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 135.0,
              "providers": [
                {
                  "billed_charge": 135.0,
                  "npi": [
                    1013657121
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063489482"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 82.5,
              "providers": [
                {
                  "billed_charge": 82.5,
                  "npi": [
                    1063489482
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1063879286"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 237.0,
                  "npi": [
                    1063879286
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144937566"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.14,
              "providers": [
                {
                  "billed_charge": 157.14,
                  "npi": [
                    1144937566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1184130627"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1184130627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 136.0,
              "providers": [
                {
                  "billed_charge": 136.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 162.73,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            },
            {
              "allowed_amount": 168.78,
              "providers": [
                {
                  "billed_charge": 168.78,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215936927"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 139.32,
              "providers": [
                {
                  "billed_charge": 314.64,
                  "npi": [
                    1215936927
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255365102"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.52,
              "providers": [
                {
                  "billed_charge": 182.0,
                  "npi": [
                    1255365102
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255538591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 160.0,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1255538591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275771370"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1275771370
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316659105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 197.0,
                  "npi": [
                    1316659105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366182271"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 201.0,
              "providers": [
                {
                  "billed_charge": 203.0,
                  "npi": [
                    1366182271
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366425274"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 240.0,
                  "npi": [
                    1366425274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497771521"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 148.52,
              "providers": [
                {
                  "billed_charge": 157.0,
                  "npi": [
                    1497771521
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548923923"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 269.0,
                  "npi": [
                    1548923923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700264058"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 142.09,
              "providers": [
                {
                  "billed_charge": 160.0,
                  "npi": [
                    1700264058
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 129.83,
              "providers": [
                {
                  "billed_charge": 129.83,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790875656"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 256.32,
              "providers": [
                {
                  "billed_charge": 262.0,
                  "npi": [
                    1790875656
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881360899"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1881360899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922020767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 250.0,
              "providers": [
                {
                  "billed_charge": 250.0,
                  "npi": [
                    1922020767
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1922763051"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 154.23,
              "providers": [
                {
                  "billed_charge": 247.48,
                  "npi": [
                    1922763051
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932227899"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 124.42,
              "providers": [
                {
                  "billed_charge": 140.0,
                  "npi": [
                    1932227899
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972535052"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 121.55,
              "providers": [
                {
                  "billed_charge": 121.55,
                  "npi": [
                    1972535052
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992754220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.18,
              "providers": [
                {
                  "billed_charge": 35.18,
                  "npi": [
                    1992754220
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure prolactin (milk producing hormone) level",
      "billing_code_type": "CPT",
      "billing_code": "84146",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure prolactin (milk producing hormone) level",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 43.61,
              "providers": [
                {
                  "billed_charge": 43.61,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861554602"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.0,
              "providers": [
                {
                  "billed_charge": 46.0,
                  "npi": [
                    1861554602
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1881630614"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.38,
              "providers": [
                {
                  "billed_charge": 19.38,
                  "npi": [
                    1881630614
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urologist visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99212",
      "billing_code_type_version": "2026",
      "description": "Urologist visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013964923"
          },
          "service_code": [
            "50"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 99.37,
              "providers": [
                {
                  "billed_charge": 102.5,
                  "npi": [
                    1013964923
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1083811061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1083811061
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154509073"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 53.68,
              "providers": [
                {
                  "billed_charge": 53.68,
                  "npi": [
                    1154509073
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336144732"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.93,
              "providers": [
                {
                  "billed_charge": 48.93,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            },
            {
              "allowed_amount": 63.75,
              "providers": [
                {
                  "billed_charge": 63.75,
                  "npi": [
                    1336144732
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518055136"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1518055136
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578805677"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 113.18,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1578805677
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598776916"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 64.5,
              "providers": [
                {
                  "billed_charge": 64.5,
                  "npi": [
                    1598776916
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649096124"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.88,
              "providers": [
                {
                  "billed_charge": 22.88,
                  "npi": [
                    1649096124
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649410630"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 70.0,
                  "npi": [
                    1649410630
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720344575"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1720344575
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801170816"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.0,
              "providers": [
                {
                  "billed_charge": 56.0,
                  "npi": [
                    1801170816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861506560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 39.0,
              "providers": [
                {
                  "billed_charge": 39.0,
                  "npi": [
                    1861506560
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902886492"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 120.0,
                  "npi": [
                    1902886492
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912522285"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 84.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1912522285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912935859"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1912935859
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1992107817"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 84.0,
                  "npi": [
                    1992107817
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.89,
              "providers": [
                {
                  "billed_charge": 34.89,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003230962"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1003230962
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053342816"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.27,
              "providers": [
                {
                  "billed_charge": 138.0,
                  "npi": [
                    1053342816
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1134152986"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 279.0,
                  "npi": [
                    1134152986
                  ]
                },
                {
                  "billed_charge": 372.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            },
            {
              "allowed_amount": 205.08,
              "providers": [
                {
                  "billed_charge": 372.0,
                  "npi": [
                    1134152986
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386281269"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 24.75,
              "providers": [
                {
                  "billed_charge": 24.75,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.41,
              "providers": [
                {
                  "billed_charge": 48.41,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.97,
              "providers": [
                {
                  "billed_charge": 48.97,
                  "npi": [
                    1386281269
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578087086"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.0,
              "providers": [
                {
                  "billed_charge": 35.0,
                  "npi": [
                    1578087086
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811484215"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 90.0,
              "providers": [
                {
                  "billed_charge": 90.0,
                  "npi": [
                    1811484215
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851346720"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 160.74,
                  "npi": [
                    1851346720
                  ]
                },
                {
                  "billed_charge": 321.48,
                  "npi": [
                    1851346720
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for brain ultrasound",
      "billing_code_type": "CPT",
      "billing_code": "76506",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for brain ultrasound",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1437196979"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.66,
              "providers": [
                {
                  "billed_charge": 458.0,
                  "npi": [
                    1437196979
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861439952"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.66,
              "providers": [
                {
                  "billed_charge": 46.66,
                  "npi": [
                    1861439952
                  ]
                },
                {
                  "billed_charge": 458.0,
                  "npi": [
                    1861439952
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Inpatient hospital observation care provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99233",
      "billing_code_type_version": "2026",
      "description": "Inpatient hospital observation care provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043805690"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 173.02,
                  "npi": [
                    1043805690
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235239211"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1235239211
                  ]
                }
              ]
            },
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 173.02,
                  "npi": [
                    1235239211
                  ]
                },
                {
                  "billed_charge": 1054.09,
                  "npi": [
                    1235239211
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417016973"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 151.0,
              "providers": [
                {
                  "billed_charge": 151.0,
                  "npi": [
                    1417016973
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1578563284"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 150.0,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1578563284
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811215742"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 173.02,
              "providers": [
                {
                  "billed_charge": 173.02,
                  "npi": [
                    1811215742
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982601456"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 157.7,
              "providers": [
                {
                  "billed_charge": 157.7,
                  "npi": [
                    1982601456
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295761963"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 77.67,
              "providers": [
                {
                  "billed_charge": 77.67,
                  "npi": [
                    1295761963
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447342514"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1447342514
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 54.64,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639174204"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 226.89,
                  "npi": [
                    1639174204
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902839673"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 36.82,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            },
            {
              "allowed_amount": 36.82,
              "providers": [
                {
                  "billed_charge": 36.82,
                  "npi": [
                    1902839673
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1538828306"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.55,
              "providers": [
                {
                  "billed_charge": 16.55,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 16.88,
              "providers": [
                {
                  "billed_charge": 16.88,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.0,
              "providers": [
                {
                  "billed_charge": 29.0,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.34,
              "providers": [
                {
                  "billed_charge": 33.34,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 42.86,
              "providers": [
                {
                  "billed_charge": 42.86,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            },
            {
              "allowed_amount": 49.65,
              "providers": [
                {
                  "billed_charge": 49.65,
                  "npi": [
                    1538828306
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942850854"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 30.0,
              "providers": [
                {
                  "billed_charge": 30.0,
                  "npi": [
                    1942850854
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for drug test",
      "billing_code_type": "CPT",
      "billing_code": "80307",
      "billing_code_type_version": "2026",
      "description": "Lab fee for drug test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.2,
              "providers": [
                {
                  "billed_charge": 103.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            },
            {
              "allowed_amount": 123.2,
              "providers": [
                {
                  "billed_charge": 123.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295785285"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1295785285
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1356339857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.59,
              "providers": [
                {
                  "billed_charge": 55.59,
                  "npi": [
                    1356339857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "21",
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1427703024"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.59,
              "providers": [
                {
                  "billed_charge": 55.59,
                  "npi": [
                    1427703024
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1447296272"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.14,
              "providers": [
                {
                  "billed_charge": 62.14,
                  "npi": [
                    1447296272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699782722"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 242.0,
                  "npi": [
                    1699782722
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 34.4,
              "providers": [
                {
                  "billed_charge": 34.4,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376587113"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 21.0,
              "providers": [
                {
                  "billed_charge": 21.0,
                  "npi": [
                    1376587113
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1437156247"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 165.11,
                  "npi": [
                    1437156247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467493551"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 85.0,
                  "npi": [
                    1467493551
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.64,
              "providers": [
                {
                  "billed_charge": 54.64,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811971302"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.06,
              "providers": [
                {
                  "billed_charge": 46.06,
                  "npi": [
                    1811971302
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972564730"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            },
            {
              "allowed_amount": 53.56,
              "providers": [
                {
                  "billed_charge": 53.56,
                  "npi": [
                    1972564730
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Urinalysis",
      "billing_code_type": "CPT",
      "billing_code": "81003",
      "billing_code_type_version": "2026",
      "description": "Urinalysis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033554910"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1033554910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.38,
              "providers": [
                {
                  "billed_charge": 3.38,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205986247"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.8,
              "providers": [
                {
                  "billed_charge": 4.8,
                  "npi": [
                    1205986247
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316302359"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.16,
              "providers": [
                {
                  "billed_charge": 4.16,
                  "npi": [
                    1316302359
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.38,
              "providers": [
                {
                  "billed_charge": 3.38,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 5.06,
              "providers": [
                {
                  "billed_charge": 5.06,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679579320"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.85,
              "providers": [
                {
                  "billed_charge": 10.0,
                  "npi": [
                    1679579320
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 3.38,
              "providers": [
                {
                  "billed_charge": 3.38,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.0,
              "providers": [
                {
                  "billed_charge": 8.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for massage, stretching, and pulling treatment",
      "billing_code_type": "CPT",
      "billing_code": "97140",
      "billing_code_type_version": "2026",
      "description": "Provider fee for massage, stretching, and pulling treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1235677071"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 62.87,
              "providers": [
                {
                  "billed_charge": 87.5,
                  "npi": [
                    1235677071
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285354647"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.92,
              "providers": [
                {
                  "billed_charge": 25.92,
                  "npi": [
                    1285354647
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1508538158"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.0,
              "providers": [
                {
                  "billed_charge": 25.0,
                  "npi": [
                    1508538158
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1700363686"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.64,
              "providers": [
                {
                  "billed_charge": 25.64,
                  "npi": [
                    1700363686
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962669275"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 25.64,
              "providers": [
                {
                  "billed_charge": 25.64,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            },
            {
              "allowed_amount": 29.88,
              "providers": [
                {
                  "billed_charge": 32.56,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 33.11,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 33.61,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 33.62,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 47.62,
                  "npi": [
                    1962669275
                  ]
                },
                {
                  "billed_charge": 53.27,
                  "npi": [
                    1962669275
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "9999999999"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.92,
              "providers": [
                {
                  "billed_charge": 25.92,
                  "npi": [
                    9999999999
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Licensed private duty/independent nursing services",
      "billing_code_type": "HCPCS",
      "billing_code": "T1000",
      "billing_code_type_version": "2026",
      "description": "Licensed private duty/independent nursing services",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1053788034"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.15,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 195.23,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 260.3,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 390.46,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 455.53,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 520.61,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 585.68,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 650.76,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 712.36,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            },
            {
              "allowed_amount": 780.91,
              "providers": [
                {
                  "billed_charge": 1000.0,
                  "npi": [
                    1053788034
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure creatinine in blood",
      "billing_code_type": "CPT",
      "billing_code": "82565",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure creatinine in blood",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114079167"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.2,
              "providers": [
                {
                  "billed_charge": 11.2,
                  "npi": [
                    1114079167
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.52,
              "providers": [
                {
                  "billed_charge": 11.52,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using exercise",
      "billing_code_type": "CPT",
      "billing_code": "97110",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using exercise",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1234567890"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.75,
              "providers": [
                {
                  "billed_charge": 13.75,
                  "npi": [
                    1234567890
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255302808"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.82,
              "providers": [
                {
                  "billed_charge": 48.48,
                  "npi": [
                    1255302808
                  ]
                },
                {
                  "billed_charge": 60.28,
                  "npi": [
                    1255302808
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467552471"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 101.0,
                  "npi": [
                    1467552471
                  ]
                }
              ]
            },
            {
              "allowed_amount": 40.82,
              "providers": [
                {
                  "billed_charge": 88.88,
                  "npi": [
                    1467552471
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548289697"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 65.9,
              "providers": [
                {
                  "billed_charge": 77.0,
                  "npi": [
                    1548289697
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558555326"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 51.92,
              "providers": [
                {
                  "billed_charge": 51.92,
                  "npi": [
                    1558555326
                  ]
                }
              ]
            },
            {
              "allowed_amount": 51.93,
              "providers": [
                {
                  "billed_charge": 51.93,
                  "npi": [
                    1558555326
                  ]
                }
              ]
            },
            {
              "allowed_amount": 75.0,
              "providers": [
                {
                  "billed_charge": 75.0,
                  "npi": [
                    1558555326
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649768334"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 23.12,
              "providers": [
                {
                  "billed_charge": 23.12,
                  "npi": [
                    1649768334
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 73.8,
              "providers": [
                {
                  "billed_charge": 73.8,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 147.6,
              "providers": [
                {
                  "billed_charge": 147.6,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 233.7,
              "providers": [
                {
                  "billed_charge": 233.7,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee for testosterone test",
      "billing_code_type": "CPT",
      "billing_code": "84403",
      "billing_code_type_version": "2026",
      "description": "Lab fee for testosterone test",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1194769497"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.0,
              "providers": [
                {
                  "billed_charge": 22.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 36.0,
                  "npi": [
                    1194769497
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205541596"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.67,
              "providers": [
                {
                  "billed_charge": 9.67,
                  "npi": [
                    1205541596
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1225422488"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1225422488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 33.19,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265603633"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 131.4,
                  "npi": [
                    1265603633
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 33.19,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 53.7,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639157498"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 62.5,
                  "npi": [
                    1639157498
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.0,
              "providers": [
                {
                  "billed_charge": 11.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1669749511"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.63,
              "providers": [
                {
                  "billed_charge": 19.63,
                  "npi": [
                    1669749511
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699797878"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 91.65,
                  "npi": [
                    1699797878
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720306566"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1720306566
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.45,
              "providers": [
                {
                  "billed_charge": 22.45,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760118483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 22.12,
              "providers": [
                {
                  "billed_charge": 22.12,
                  "npi": [
                    1760118483
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1760599146"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 27.0,
              "providers": [
                {
                  "billed_charge": 27.0,
                  "npi": [
                    1760599146
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1780620526"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 25.81,
              "providers": [
                {
                  "billed_charge": 25.81,
                  "npi": [
                    1780620526
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841408283"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 28.4,
              "providers": [
                {
                  "billed_charge": 28.4,
                  "npi": [
                    1841408283
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1891812483"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.19,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1891812483
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for spine x-ray",
      "billing_code_type": "CPT",
      "billing_code": "72100",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for spine x-ray",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.76,
              "providers": [
                {
                  "billed_charge": 40.76,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 56.36,
              "providers": [
                {
                  "billed_charge": 56.36,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104368026"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1104368026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255542379"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 85.6,
              "providers": [
                {
                  "billed_charge": 85.6,
                  "npi": [
                    1255542379
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1255684684"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1255684684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346423480"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.6,
              "providers": [
                {
                  "billed_charge": 15.6,
                  "npi": [
                    1346423480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.6,
              "providers": [
                {
                  "billed_charge": 15.6,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487973996"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 173.7,
                  "npi": [
                    1487973996
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.6,
              "providers": [
                {
                  "billed_charge": 15.6,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 56.36,
              "providers": [
                {
                  "billed_charge": 56.36,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952386443"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 58.6,
                  "npi": [
                    1952386443
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nurse visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Nurse visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11",
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 203.15,
              "providers": [
                {
                  "billed_charge": 203.15,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 239.0,
              "providers": [
                {
                  "billed_charge": 239.0,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 166.4,
              "providers": [
                {
                  "billed_charge": 166.4,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1265591812"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 143.0,
                  "npi": [
                    1265591812
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407823487"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.53,
              "providers": [
                {
                  "billed_charge": 238.0,
                  "npi": [
                    1407823487
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518004837"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1518004837
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588624696"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1588624696
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1629387865"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.03,
              "providers": [
                {
                  "billed_charge": 206.68,
                  "npi": [
                    1629387865
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1740231448"
          },
          "service_code": [
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.59,
              "providers": [
                {
                  "billed_charge": 153.88,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            },
            {
              "allowed_amount": 113.14,
              "providers": [
                {
                  "billed_charge": 166.36,
                  "npi": [
                    1740231448
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1871663542"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 236.64,
              "providers": [
                {
                  "billed_charge": 236.64,
                  "npi": [
                    1871663542
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952019556"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 175.0,
              "providers": [
                {
                  "billed_charge": 175.0,
                  "npi": [
                    1952019556
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for nutrition therapy/treatment",
      "billing_code_type": "CPT",
      "billing_code": "97803",
      "billing_code_type_version": "2026",
      "description": "Provider fee for nutrition therapy/treatment",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 96.62,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 48.31,
              "providers": [
                {
                  "billed_charge": 48.31,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 96.62,
              "providers": [
                {
                  "billed_charge": 96.62,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 144.92,
              "providers": [
                {
                  "billed_charge": 144.92,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1558097824"
          },
          "service_code": [
            "02",
            "11",
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 48.09,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1558097824
                  ]
                }
              ]
            },
            {
              "allowed_amount": 145.0,
              "providers": [
                {
                  "billed_charge": 145.0,
                  "npi": [
                    1558097824
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1699775726"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 54.72,
              "providers": [
                {
                  "billed_charge": 54.72,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            },
            {
              "allowed_amount": 82.08,
              "providers": [
                {
                  "billed_charge": 82.08,
                  "npi": [
                    1699775726
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Physical therapy session using dynamic activities",
      "billing_code_type": "CPT",
      "billing_code": "97530",
      "billing_code_type_version": "2026",
      "description": "Physical therapy session using dynamic activities",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1033154026"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 142.0,
                  "npi": [
                    1033154026
                  ]
                },
                {
                  "billed_charge": 284.0,
                  "npi": [
                    1033154026
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1154636488"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 32.57,
              "providers": [
                {
                  "billed_charge": 54.0,
                  "npi": [
                    1154636488
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215960901"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 244.4,
                  "npi": [
                    1215960901
                  ]
                },
                {
                  "billed_charge": 488.8,
                  "npi": [
                    1215960901
                  ]
                },
                {
                  "billed_charge": 733.2,
                  "npi": [
                    1215960901
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1386435758"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 59.0,
              "providers": [
                {
                  "billed_charge": 59.0,
                  "npi": [
                    1386435758
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 118.0,
                  "npi": [
                    1386435758
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407859481"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 33.33,
              "providers": [
                {
                  "billed_charge": 33.33,
                  "npi": [
                    1407859481
                  ]
                }
              ]
            },
            {
              "allowed_amount": 66.66,
              "providers": [
                {
                  "billed_charge": 66.66,
                  "npi": [
                    1407859481
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982785838"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.84,
              "providers": [
                {
                  "billed_charge": 6.84,
                  "npi": [
                    1982785838
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for extra time in an evaluation and management visit",
      "billing_code_type": "CPT",
      "billing_code": "99417",
      "billing_code_type_version": "2026",
      "description": "Provider fee for extra time in an evaluation and management visit",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003601220"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1003601220
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851179873"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 46.6,
              "providers": [
                {
                  "billed_charge": 55.0,
                  "npi": [
                    1851179873
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure creatinine level to test for kidney function or muscle injury",
      "billing_code_type": "CPT",
      "billing_code": "82570",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure creatinine level to test for kidney function or muscle injury",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 7.77,
              "providers": [
                {
                  "billed_charge": 7.77,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.66,
              "providers": [
                {
                  "billed_charge": 11.66,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 23.31,
              "providers": [
                {
                  "billed_charge": 23.31,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1598765539"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.66,
              "providers": [
                {
                  "billed_charge": 11.66,
                  "npi": [
                    1598765539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1982673372"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.0,
              "providers": [
                {
                  "billed_charge": 13.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1982673372
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lipid panel",
      "billing_code_type": "CPT",
      "billing_code": "80061",
      "billing_code_type_version": "2026",
      "description": "Lipid panel",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043293608"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1043293608
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1053403402"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 99.0,
                  "npi": [
                    1053403402
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 17.41,
              "providers": [
                {
                  "billed_charge": 17.41,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1417227398"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 102.1,
                  "npi": [
                    1417227398
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457146250"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.21,
              "providers": [
                {
                  "billed_charge": 50.21,
                  "npi": [
                    1457146250
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457676736"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 25.94,
                  "npi": [
                    1457676736
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538144910"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1538144910
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1538183181"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 72.1,
                  "npi": [
                    1538183181
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720048143"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1720048143
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811069685"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 58.0,
                  "npi": [
                    1811069685
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1851338149"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            },
            {
              "allowed_amount": 33.48,
              "providers": [
                {
                  "billed_charge": 33.48,
                  "npi": [
                    1851338149
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.01,
              "providers": [
                {
                  "billed_charge": 16.01,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932304755"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.39,
              "providers": [
                {
                  "billed_charge": 13.39,
                  "npi": [
                    1932304755
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code": "3079F",
      "billing_code_type_version": "2026",
      "description": "3079F",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1063264299"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1063264299
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1114107919"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1114107919
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245279744"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1245279744
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912066499"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.01,
                  "npi": [
                    1912066499
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Radiology fee for x-ray of hip with pelvis",
      "billing_code_type": "CPT",
      "billing_code": "73502",
      "billing_code_type_version": "2026",
      "description": "Radiology fee for x-ray of hip with pelvis",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 52.2,
              "providers": [
                {
                  "billed_charge": 52.2,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            },
            {
              "allowed_amount": 67.8,
              "providers": [
                {
                  "billed_charge": 67.8,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043673700"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.62,
              "providers": [
                {
                  "billed_charge": 83.62,
                  "npi": [
                    1043673700
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144217894"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 103.2,
              "providers": [
                {
                  "billed_charge": 103.2,
                  "npi": [
                    1144217894
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1346423480"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.6,
              "providers": [
                {
                  "billed_charge": 15.6,
                  "npi": [
                    1346423480
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [
            "22",
            "21",
            "19"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            },
            {
              "allowed_amount": 15.6,
              "providers": [
                {
                  "billed_charge": 15.6,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801875208"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.6,
              "providers": [
                {
                  "billed_charge": 15.6,
                  "npi": [
                    1801875208
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811979420"
          },
          "service_code": [
            "22"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 71.19,
              "providers": [
                {
                  "billed_charge": 97.0,
                  "npi": [
                    1811979420
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831863943"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 67.8,
              "providers": [
                {
                  "billed_charge": 67.8,
                  "npi": [
                    1831863943
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Lab fee to measure vitamin b12",
      "billing_code_type": "CPT",
      "billing_code": "82607",
      "billing_code_type_version": "2026",
      "description": "Lab fee to measure vitamin b12",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1265418669"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.38,
              "providers": [
                {
                  "billed_charge": 19.38,
                  "npi": [
                    1265418669
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1275581852"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 132.0,
                  "npi": [
                    1275581852
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1295726032"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.38,
              "providers": [
                {
                  "billed_charge": 19.38,
                  "npi": [
                    1295726032
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1326104613"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1326104613
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396798229"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 19.38,
              "providers": [
                {
                  "billed_charge": 68.6,
                  "npi": [
                    1396798229
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548461643"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.25,
              "providers": [
                {
                  "billed_charge": 11.25,
                  "npi": [
                    1548461643
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548849813"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1548849813
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1588868947"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 11.35,
              "providers": [
                {
                  "billed_charge": 11.35,
                  "npi": [
                    1588868947
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1649882028"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 6.0,
              "providers": [
                {
                  "billed_charge": 6.0,
                  "npi": [
                    1649882028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710236906"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.6,
              "providers": [
                {
                  "billed_charge": 18.6,
                  "npi": [
                    1710236906
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1710726591"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 20.0,
              "providers": [
                {
                  "billed_charge": 20.0,
                  "npi": [
                    1710726591
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720660210"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.12,
              "providers": [
                {
                  "billed_charge": 13.12,
                  "npi": [
                    1720660210
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790721538"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1790721538
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790888089"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 263.0,
                  "npi": [
                    1790888089
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932166386"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.08,
              "providers": [
                {
                  "billed_charge": 15.08,
                  "npi": [
                    1932166386
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Nurse visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Nurse visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003096793"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.0,
              "providers": [
                {
                  "billed_charge": 110.0,
                  "npi": [
                    1003096793
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124064118"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 106.0,
              "providers": [
                {
                  "billed_charge": 106.0,
                  "npi": [
                    1124064118
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205026168"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.76,
              "providers": [
                {
                  "billed_charge": 183.0,
                  "npi": [
                    1205026168
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235411547"
          },
          "service_code": [
            "20"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 210.0,
              "providers": [
                {
                  "billed_charge": 210.0,
                  "npi": [
                    1235411547
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1235658857"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1235658857
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1376624940"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1376624940
                  ]
                }
              ]
            },
            {
              "allowed_amount": 172.42,
              "providers": [
                {
                  "billed_charge": 172.42,
                  "npi": [
                    1376624940
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467671305"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 157.5,
              "providers": [
                {
                  "billed_charge": 157.5,
                  "npi": [
                    1467671305
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1487228532"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 115.98,
              "providers": [
                {
                  "billed_charge": 115.98,
                  "npi": [
                    1487228532
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497794309"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 78.5,
              "providers": [
                {
                  "billed_charge": 78.5,
                  "npi": [
                    1497794309
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518012004"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 110.76,
              "providers": [
                {
                  "billed_charge": 150.0,
                  "npi": [
                    1518012004
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518024546"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1518024546
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1548273592"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1548273592
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1720536584"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1720536584
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790173094"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 111.0,
              "providers": [
                {
                  "billed_charge": 111.0,
                  "npi": [
                    1790173094
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811233828"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 143.75,
              "providers": [
                {
                  "billed_charge": 262.0,
                  "npi": [
                    1811233828
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1912956046"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 370.0,
                  "npi": [
                    1912956046
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1942239504"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 105.0,
              "providers": [
                {
                  "billed_charge": 105.0,
                  "npi": [
                    1942239504
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972056364"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.68,
              "providers": [
                {
                  "billed_charge": 174.3,
                  "npi": [
                    1972056364
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Ultrasound therapy",
      "billing_code_type": "CPT",
      "billing_code": "97035",
      "billing_code_type_version": "2026",
      "description": "Ultrasound therapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1013258912"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.94,
              "providers": [
                {
                  "billed_charge": 16.94,
                  "npi": [
                    1013258912
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1285724039"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 13.93,
              "providers": [
                {
                  "billed_charge": 13.93,
                  "npi": [
                    1285724039
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609899061"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 16.94,
              "providers": [
                {
                  "billed_charge": 16.94,
                  "npi": [
                    1609899061
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Doctor visit provider fee",
      "billing_code_type": "CPT",
      "billing_code": "99214",
      "billing_code_type_version": "2026",
      "description": "Doctor visit provider fee",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1003878539"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 262.0,
                  "npi": [
                    1003878539
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124284518"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 80.0,
              "providers": [
                {
                  "billed_charge": 80.0,
                  "npi": [
                    1124284518
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1205139623"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.54,
              "providers": [
                {
                  "billed_charge": 165.54,
                  "npi": [
                    1205139623
                  ]
                }
              ]
            },
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1205139623
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1245215607"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 131.2,
              "providers": [
                {
                  "billed_charge": 131.2,
                  "npi": [
                    1245215607
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1306105150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1306105150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1316994734"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 118.2,
              "providers": [
                {
                  "billed_charge": 118.2,
                  "npi": [
                    1316994734
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1366795221"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 190.0,
              "providers": [
                {
                  "billed_charge": 190.0,
                  "npi": [
                    1366795221
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1518333749"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 194.73,
              "providers": [
                {
                  "billed_charge": 210.58,
                  "npi": [
                    1518333749
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1609000769"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 302.0,
                  "npi": [
                    1609000769
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1639215965"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 213.0,
                  "npi": [
                    1639215965
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679694152"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 130.0,
              "providers": [
                {
                  "billed_charge": 130.0,
                  "npi": [
                    1679694152
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962501627"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.53,
              "providers": [
                {
                  "billed_charge": 213.0,
                  "npi": [
                    1962501627
                  ]
                }
              ]
            },
            {
              "allowed_amount": 141.7,
              "providers": [
                {
                  "billed_charge": 213.0,
                  "npi": [
                    1962501627
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962775767"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.22,
              "providers": [
                {
                  "billed_charge": 83.22,
                  "npi": [
                    1962775767
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Therapy or counseling session",
      "billing_code_type": "CPT",
      "billing_code": "90837",
      "billing_code_type_version": "2026",
      "description": "Therapy or counseling session",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043874506"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 288.0,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1043874506
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1073115028"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 165.0,
              "providers": [
                {
                  "billed_charge": 165.0,
                  "npi": [
                    1073115028
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1467288316"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 125.0,
              "providers": [
                {
                  "billed_charge": 125.0,
                  "npi": [
                    1467288316
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962531897"
          },
          "service_code": [
            "10",
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 291.0,
              "providers": [
                {
                  "billed_charge": 305.0,
                  "npi": [
                    1962531897
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Routine blood draw",
      "billing_code_type": "CPT",
      "billing_code": "36415",
      "billing_code_type_version": "2026",
      "description": "Routine blood draw",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1073688354"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1073688354
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1104914274"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.95,
              "providers": [
                {
                  "billed_charge": 5.95,
                  "npi": [
                    1104914274
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1124127683"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 0.0,
                  "npi": [
                    1124127683
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1194705194"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 12.14,
              "providers": [
                {
                  "billed_charge": 12.14,
                  "npi": [
                    1194705194
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1396402905"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 12.0,
                  "npi": [
                    1396402905
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1407854771"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 15.0,
              "providers": [
                {
                  "billed_charge": 15.0,
                  "npi": [
                    1407854771
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1477020907"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.0,
              "providers": [
                {
                  "billed_charge": 9.0,
                  "npi": [
                    1477020907
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1619972254"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 10.0,
              "providers": [
                {
                  "billed_charge": 12.24,
                  "npi": [
                    1619972254
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750570164"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.0,
              "providers": [
                {
                  "billed_charge": 5.0,
                  "npi": [
                    1750570164
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1841236684"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1841236684
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1902876154"
          },
          "service_code": [],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 5.95,
              "providers": [
                {
                  "billed_charge": 5.95,
                  "npi": [
                    1902876154
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1932184322"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.09,
              "providers": [
                {
                  "billed_charge": 9.09,
                  "npi": [
                    1932184322
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1952347791"
          },
          "service_code": [
            "81"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 8.57,
              "providers": [
                {
                  "billed_charge": 8.57,
                  "npi": [
                    1952347791
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee for therapy session included with evaluation",
      "billing_code_type": "CPT",
      "billing_code": "90833",
      "billing_code_type_version": "2026",
      "description": "Provider fee for therapy session included with evaluation",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1043270150"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 119.0,
              "providers": [
                {
                  "billed_charge": 119.0,
                  "npi": [
                    1043270150
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1144539412"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 50.0,
              "providers": [
                {
                  "billed_charge": 50.0,
                  "npi": [
                    1144539412
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1215435367"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 55.76,
              "providers": [
                {
                  "billed_charge": 55.76,
                  "npi": [
                    1215435367
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1336370196"
          },
          "service_code": [
            "21"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 200.0,
                  "npi": [
                    1336370196
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457548224"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 83.16,
              "providers": [
                {
                  "billed_charge": 83.16,
                  "npi": [
                    1457548224
                  ]
                }
              ]
            },
            {
              "allowed_amount": 100.0,
              "providers": [
                {
                  "billed_charge": 100.0,
                  "npi": [
                    1457548224
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1457899932"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1457899932
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1689362808"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1689362808
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1790760163"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 40.0,
              "providers": [
                {
                  "billed_charge": 40.0,
                  "npi": [
                    1790760163
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1801472634"
          },
          "service_code": [
            "10"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 81.5,
              "providers": [
                {
                  "billed_charge": 81.5,
                  "npi": [
                    1801472634
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1811939887"
          },
          "service_code": [
            "02"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 115.0,
                  "npi": [
                    1811939887
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1861102105"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 35.94,
              "providers": [
                {
                  "billed_charge": 35.94,
                  "npi": [
                    1861102105
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1962729368"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 70.31,
              "providers": [
                {
                  "billed_charge": 70.31,
                  "npi": [
                    1962729368
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972764108"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 63.64,
              "providers": [
                {
                  "billed_charge": 63.64,
                  "npi": [
                    1972764108
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Provider fee to do low level laser therapy",
      "billing_code_type": "CPT",
      "billing_code": "0552T",
      "billing_code_type_version": "2026",
      "description": "Provider fee to do low level laser therapy",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1144474982"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 56.67,
                  "npi": [
                    1144474982
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1497791560"
          },
          "service_code": [
            "11"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 0.0,
              "providers": [
                {
                  "billed_charge": 26.14,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 32.31,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 42.5,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 47.0,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 52.5,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 56.5,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 56.66,
                  "npi": [
                    1497791560
                  ]
                },
                {
                  "billed_charge": 60.0,
                  "npi": [
                    1497791560
                  ]
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "name": "Disposable filter for CPAP",
      "billing_code_type": "HCPCS",
      "billing_code": "A7038",
      "billing_code_type_version": "2026",
      "description": "Disposable filter for CPAP",
      "allowed_amounts": [
        {
          "tin": {
            "type": "npi",
            "value": "1114302486"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 18.0,
              "providers": [
                {
                  "billed_charge": 18.0,
                  "npi": [
                    1114302486
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1679682272"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 4.0,
              "providers": [
                {
                  "billed_charge": 4.0,
                  "npi": [
                    1679682272
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1750499570"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 45.0,
              "providers": [
                {
                  "billed_charge": 45.0,
                  "npi": [
                    1750499570
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1831715739"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 9.5,
              "providers": [
                {
                  "billed_charge": 9.5,
                  "npi": [
                    1831715739
                  ]
                }
              ]
            }
          ]
        },
        {
          "tin": {
            "type": "npi",
            "value": "1972554939"
          },
          "service_code": [
            "12"
          ],
          "billing_class": "professional",
          "payments": [
            {
              "allowed_amount": 2.34,
              "providers": [
                {
                  "billed_charge": 2.34,
                  "npi": [
                    1972554939
                  ]
                }
              ]
            },
            {
              "allowed_amount": 11.7,
              "providers": [
                {
                  "billed_charge": 11.7,
                  "npi": [
                    1972554939
                  ]
                }
              ]
            },
            {
              "allowed_amount": 14.04,
              "providers": [
                {
                  "billed_charge": 14.04,
                  "npi": [
                    1972554939
                  ]
                }
              ]
            }
          ]
        }
      ]
    }
  ],
  "last_updated_on": "2026-09-02",
  "version": "2.2.1"
}